Ebony Nellon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4703125193 Issued in MI

Practice address

2669 MLK Jr Blvd
Detroit, MI 48208-2562

Phone

(313) 687-3908

NPI assigned

Feb 2, 2022

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1982357596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 MLK JR BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082562",
            "telephone_number": "313-687-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 MLK JR BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082562",
            "telephone_number": "313-687-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLON",
        "first_name": "EBONY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4703125193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Neill, M.D.
• Benjamin Taylor Neilsen
• Amanda Lee Neilson, NP
• Christina Neirinck, FNP-BC
• Nekton Autism of Michigan LLC
• Lakshmi Subba Nellutla, MD
• Troy Nelmark
• Amy-Eunice Neloms, IBCLC
• Tiera Nelson-Roby
• Tonya Marie Nelson-Williams, LMSW

• Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.