Individual
EBONI FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
104 POMONA DR, GREENSBORO, NC 27407-1616
(336) 268-4100
(336) 268-3158
Mailing address
625 MIZPAH CHURCH RD, REIDSVILLE, NC 27320-1518
(336) 432-9186
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015663
NC
363LF0000X
Family Nurse Practitioner
Primary
5015663
NC
Other
Enumeration date
01/25/2022
Last updated
12/27/2024
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