Individual
EBONY NICOLE BANKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11942 PARAMOUNT BLVD, DOWNEY, CA 90242-2306
(562) 923-6060
Mailing address
2670 HACKBERRY CIR, CHINO HILLS, CA 91709-3812
(323) 787-5381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09171331
CA
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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