JANIS D EBOLUM APRN-BC
NPI 1710985072
Nurse Practitioner - Family in Shelbyville, TN

Active since July 11, 2005
140 DOVER ST, SHELBYVILLE, TN 37160(931) 684-3426(931) 684-5860 Get Directions Write a Review

NPPES record last updated: July 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janis D Ebolum Aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANIS D EBOLUM APRN-BC (NPI 1710985072) is an individual family provider in Shelbyville, Tennessee, licensed in Tennessee (APN0000005513) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1710985072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJANIS D EBOLUMCredential: APRN-BC
Location Address140 DOVER STShelbyville, TN 37160-2776
Mailing Address140 Dover StShelbyville, TN 37160-2776 · (931) 684-3426 · Fax (931) 684-5860
Fax(931) 684-5860
Sole ProprietorNo
Enumeration DateJuly 11, 2005
Last NPPES UpdateJuly 14, 2012
NPI 1710985072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APN0000005513
140 DOVER ST, Shelbyville, TN 37160

Other Identifiers 2

Other4057644Bcbs
Medicaid3897887TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nutritionist
140 DOVER ST
SHELBYVILLE, TN 37160
Nurse's Aide
140 DOVER ST
SHELBYVILLE, TN 37160
Licensed Practical Nurse
140 DOVER ST
SHELBYVILLE, TN 37160
Nutritionist
140 DOVER ST
SHELBYVILLE, TN 37160
Registered Nurse (Community Health)
140 DOVER ST
SHELBYVILLE, TN 37160
Registered Nurse
140 DOVER ST
SHELBYVILLE, TN 37160
Registered Nurse
140 DOVER ST
SHELBYVILLE, TN 37160
Nurse's Aide
140 DOVER ST
SHELBYVILLE, TN 37160

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 Janis Ebolum's NPI number?

The NPI number for Janis Ebolum is 1710985072. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Janis Ebolum located?

Janis Ebolum practices at 140 Dover St, Shelbyville, TN 37160. The listed phone number is (931) 684-3426.

What is Janis Ebolum'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 Janis Ebolum was last updated on July 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.