Individual
MRS. NICOL SHANTEL EBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2171 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 297-3907
Mailing address
2171 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 297-3907
(520) 989-3486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337917
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
02/26/2026
Last updated
04/20/2026
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