Provider Demographics
NPI:1114226818
Name:LYONS, EBONEE R (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:EBONEE
Middle Name:R
Last Name:LYONS
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 HIGHWAY 280 STE 223
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-1504
Mailing Address - Country:US
Mailing Address - Phone:205-774-0309
Mailing Address - Fax:
Practice Address - Street 1:5511 HIGHWAY 280 STE 223
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-1504
Practice Address - Country:US
Practice Address - Phone:205-774-0309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2021-03-05
Deactivation Date:2018-02-03
Deactivation Code:
Reactivation Date:2018-02-09
Provider Licenses
StateLicense IDTaxonomies
AL1-106288363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily