Individual
EBONY HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- C
Contact information
Practice address
200 GAMBLE DR, LINCOLNTON, NC 28092-4421
(704) 736-8635
Mailing address
911 GOLDMINE HILL CT, BELMONT, NC 28012-4078
(937) 603-4618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010217
NC
363LF0000X
Family Nurse Practitioner
AP7615
AZ
Other
Enumeration date
02/02/2015
Last updated
04/07/2026
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