MRS. JESSICA LYNN EBNER (NPI# 1497389738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497389738 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LYNN EBNER |
| Credential | NP-C |
| Practice Address |
1902 E Gore Blvd Lawton OK 73501-6102 |
| Mailing Address |
249 Happy Hollow Ln Elgin OK 73538-2142 |
| Practice Telephone | 8604806231 |
| Mailing Telephone | 8604806231 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
116547 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 249 Happy Hollow Ln, Elgin, OK 735382142 | 8604806231 |
| Street Address |
1902 E GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801090329 | Wanda I. Diaz | Emergency Medicine | 1902 E Gore Blvd, Lawton, OK 73501-6102 | 2007-06-11 |
| 1891027371 | Xgto Urgent Medical of Lawton, LLC | Clinic/Center | 1902 E Gore Blvd, Lawton, OK 73501-6102 | 2010-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414628 | Kimberly Noelle Hanley | Nurse Practitioner | 4411 W Gore Blvd Ste A, Lawton, OK 73505-6016 | 2020-07-08 |
| 1871133835 | Jeannie Marie Wyrick | Nurse Practitioner | 1805 Nw Arlington Ave, Lawton, OK 73507-6310 | 2020-01-07 |
| 1780234690 | Candace Michelle Flournoy | Nurse Practitioner | 3201 W Gore Blvd Ste 103, Lawton, OK 73505-6350 | 2019-09-13 |
| 1073071940 | Kimberly Ann Turnipseed | Nurse Practitioner | 6104 Nw Williams Ave, Lawton, OK 73505-1320 | 2019-03-08 |
| 1962980631 | Piettra Santos Alves | Nurse Practitioner | 5606 Sw Lee Blvd Ste 301, Lawton, OK 73505-9618 | 2018-08-03 |
| 1639670649 | Isabelle Zlatnik | Nurse Practitioner | 4411 W Gore Blvd Ste B1, Lawton, OK 73505-5977 | 2018-02-25 |
| 1932627387 | Tonya Bardsher | Nurse Practitioner | 916 Sw 38th St Ste D, Lawton, OK 73505-7005 | 2017-09-06 |
| 1063882140 | Theleka Williams | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2015-10-01 |
| 1255708012 | Shannon Ballou | Nurse Practitioner | 3811 W Gore Blvd Ste 6, Lawton, OK 73505-6328 | 2015-08-27 |
| 1437553252 | Ada Diann Johnson | Nurse Practitioner | 5050 Sw Lee Blvd, Lawton, OK 73505 | 2014-10-22 |
| Find all providers in LAWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.