Healthcare Provider Details

I. General information

NPI: 1417643222
Provider Name (Legal Business Name): EBK HEALTHCARE SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 WELLINGTON DR SW STE E
WILSON NC
27893-4400
US

IV. Provider business mailing address

PO BOX 122
WILSON NC
27894-0122
US

V. Phone/Fax

Practice location:
  • Phone: 252-281-1006
  • Fax: 252-281-1007
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERICA KEARNEY
Title or Position: NURSE PRACTITIONER
Credential: FNP-C
Phone: 252-640-7123