Provider Demographics
NPI:1891486999
Name:HUNT, EBONY SHONTE (RN)
Entity Type:Individual
Prefix:
First Name:EBONY
Middle Name:SHONTE
Last Name:HUNT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6861 WOODCREEPER DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-3817
Mailing Address - Country:US
Mailing Address - Phone:540-682-3400
Mailing Address - Fax:
Practice Address - Street 1:6861 WOODCREEPER DR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-3817
Practice Address - Country:US
Practice Address - Phone:540-682-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001297525163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health