National Provider Identifier
Ebony Latasha Williams, LPN
Ebony Latasha Williams, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (704) 499-2365.
Profile Overview
- NPI
- 1760959621
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 30, 2018
- Last Updated
- October 30, 2018
Practice Location
- 33 Jacklyn Dr
- Rochester, NY 14624-3503
Phone: (704) 499-2365
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1760959621
- Entity Type
- Individual
- Last Name
- Williams
- First Name
- Ebony
- Middle Name
- Latasha
- Credential
- LPN
- Mailing Street Address
- 33 Jacklyn Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-3503
- Mailing Country
- US
- Mailing Phone
- (704) 499-2365
- Practice Street Address
- 33 Jacklyn Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-3503
- Practice Country
- US
- Practice Phone
- (704) 499-2365
- Enumeration Date
- October 30, 2018
- Last Updated
- October 30, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)