IndividualActive
Ebony Hannah, AGCNS-BC
NPI 1861943532 · Gerontology Clinical Nurse Specialist · Indianapolis, IN
Provider details
- NPI number
- 1861943532
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGCNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 28204226A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1481 W 10th St
Indianapolis, IN 46202-2803
Phone: (317) 988-2411
Approximate (ZIP-level) locationGet directions
Mailing address
1481 W 10th St
Indianapolis, IN 46202-2803
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2017-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.