| Ebk Healthcare Services, Pllc | |
|
2305 Wellington Dr Sw Ste Ef Wilson NC 27893-4400 | |
| (252) 281-1006 | |
| (252) 281-1007 |
| Full Name | Ebk Healthcare Services, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2305 Wellington Dr Sw Ste Ef, Wilson, North Carolina |
| Authorized Official Name and Position | Erica Kearney (CEO) |
| Authorized Official Contact | 2526407123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebk Healthcare Services, Pllc Po Box 122 Wilson NC 27894-0122 Ph: () - | Ebk Healthcare Services, Pllc 2305 Wellington Dr Sw Ste Ef Wilson NC 27893-4400 Ph: (252) 281-1006 |
| NPI Number | 1417643222 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 12/05/2024 |
| Medicare PECOS PAC ID | 2264893825 |
|---|---|
| Medicare Enrollment ID | O20230728001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417643222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Erica Braswell Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205467586 PECOS PAC ID: 3779954185 Enrollment ID: I20230123001842 |
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