Individual
EBONY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
607 BOURDETTE DR, LAFAYETTE, LA 70507-5342
(318) 792-9309
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
07542
LA
363LW0102X
Women's Health Nurse Practitioner
18030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2350706
—
LA
Enumeration date
10/15/2013
Last updated
02/17/2026
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