EBONEE GRESHAM FNP
NPI 1508279837
Nurse Practitioner - Family in Decatur, GA
About Ebonee Gresham Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONEE GRESHAM FNP (NPI 1508279837) is an individual family provider in Decatur, Georgia, licensed in Georgia (NP232368) and active in the NPI registry since June 2014.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30032
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ebonee Gresham's NPI number?
The NPI number for Ebonee Gresham is 1508279837. It was assigned to this individual provider in the NPPES registry on June 4, 2014.
Where is Ebonee Gresham located?
Ebonee Gresham practices at 4280 Memorial Dr Ste D, Decatur, GA 30032. The listed phone number is (678) 719-5525.
What is Ebonee Gresham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Ebonee Gresham was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.