Individual
JESSICA RAE EBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 W SOUTH ST, BREMEN, IN 46506-1849
(574) 301-7012
(574) 301-7025
Mailing address
211 N SHAFFER ST, MILFORD, IN 46542-9787
(574) 267-7169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011888A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300057089
—
IN
Enumeration date
09/02/2021
Last updated
11/03/2025
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