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Individual

EBONEE EMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
15 MESSIMER DR, NEWARK, OH 43055-1841
(220) 564-4677
(220) 564-4678
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6200
(614) 355-6228

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
389194RN
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
16957NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0119012
OH
Enumeration date
02/05/2015
Last updated
01/12/2026
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