National Provider Identifier
Ebony Jenell Booth
Ebony Jenell Booth is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 465-6460.
Profile Overview
- NPI
- 1740520881
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 27, 2013
- Last Updated
- February 27, 2013
Practice Location
- 52 Love St
- Rochester, NY 14611-2206
Phone: (585) 465-6460
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1740520881
- Entity Type
- Individual
- Last Name
- Booth
- First Name
- Ebony
- Middle Name
- Jenell
- Name Prefix
- MS.
- Mailing Street Address
- 52 Love St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-2206
- Mailing Country
- US
- Mailing Phone
- (585) 465-6460
- Practice Street Address
- 52 Love St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-2206
- Practice Country
- US
- Practice Phone
- (585) 465-6460
- Enumeration Date
- February 27, 2013
- Last Updated
- February 27, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)