EBONY WHITESIDE

MERRILLVILLE, IN
NPI1255200077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71017385B)
Enumeration Date2025-10-30
Last Update Date2025-11-24
Business Address
EBONY WHITESIDE
200 E 89TH AVE
MERRILLVILLE, IN 46410-7318
Phone number: 219-644-3957
Mailing Address
EBONY WHITESIDE
200 E 89TH AVE
MERRILLVILLE, IN 46410-7318
Phone number: 219-779-0011