AKENJEM EBONG MBA (NP) – Family Nurse Practitioner, NPI 1912417858

Family Nurse Practitioner

AKENJEM EBONG MBA (NP) is a healthcare provider. based in Carrollton, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. AP135083 (TX). The NPI Number for AKENJEM EBONG MBA (NP) is 1912417858

Main info

Female

9 Years Of Experience

Accepts Medicare Assignment

Name

AKENJEM EBONG MBA (NP)

NPI

1912417858

Phone

(214) 606-2448

Address

1902 COUNTRY CLUB DR STE 160

Enumeration Date

5 October 2017

Last Update Date

12 October 2017

Doctor Profile

Medical School Name

GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

4043258552

Graduation Year

2017 (9 years ago)

PAC ID

9133495757

Group Practice PAC ID

2567730260

Professional Enrollment ID

I20171026002798

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience35

Completeness75

Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for AKENJEM EBONG MBA (NP)

Country Club Drive, Carrollton, Dallas County, Texas, 75006, United States
CARROLLTON, TX 750065823
Phone: (214) 606-2448
Type: Location
2411, Askew Drive, Anna, Collin County, Texas, 75409, United States
ANNA, TX 754090179
Phone: (404) 325-8552
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75006)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2567730260View full group profile