Individual
EBONY M HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2422 MEREDITH DR, COLUMBUS, OH 43219-1423
(614) 772-2804
Mailing address
2422 MEREDITH DR, COLUMBUS, OH 43219-1423
(614) 772-2804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.428220
OH
164W00000X
Licensed Practical Nurse
PN.154301-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097105
—
OH
Enumeration date
09/23/2013
Last updated
07/15/2016
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