Individual
JANENE EBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 W HIGH ST STE 214, ELKTON, MD 21921-8611
(302) 454-2400
Mailing address
111 W HIGH ST STE 214, ELKTON, MD 21921-8611
(410) 996-9490
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
L1-0026433
DE
363L00000X
Nurse Practitioner
LG-0000638
DE
363LF0000X
Family Nurse Practitioner
Primary
AC006532
MD
363LF0000X
Family Nurse Practitioner
LG-0000638
DE
Other
Enumeration date
11/26/2013
Last updated
05/01/2024
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