Individual
BRITNEY EBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 NW DUNN RD, FORT PIERCE, FL 34981-4901
(954) 604-5539
Mailing address
1702 SE FALLON DR, PORT ST LUCIE, FL 34983-3730
(954) 604-5539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11033103
FL
Other
Enumeration date
06/18/2024
Last updated
09/12/2024
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