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NPI Code Detail

MEDICARE: AURIEL JENISSA EBY APRN

MEDICARE:   AURIEL JENISSA EBY  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11040625FL

General Provider Information

NPI Number : 1851281257
Entity Type Code : Individual
Provider Name (Legal Business Name) : AURIEL JENISSA EBY APRN
Provider Business Mailing Address
First Line : 21750 SUITE B FL-54
Second Line :
City : LUTZ
State : FL
Zip : 33549
Country : US
Telephone Number : 813-609-0909
Fax Number :
Provider Business Practice Location Address
First Line : 21750 SUITE B FL-54
Second Line :
City : LUTZ
State : FL
Zip : 33549
Country : US
Telephone Number : 813-609-0909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2025
Last Update Date : 03/09/2026

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Directions to “ AURIEL JENISSA EBY APRN” Practice Location

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