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Ebony Sharette Penn

Family Nurse Practitioner in Belleville, IL · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477137693

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Registry record

Entity type Individual (Type 1)
Name Ebony Sharette Penn
Sex Female
Practice address 1720 Shadow Ridge Ct Apt H, Belleville, IL, 62221
Enumeration date May 12, 2021
Last updated in NPPES May 12, 2021

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209022466 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Ebony Penn practice?
The practice location on file with NPPES is in Belleville, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Ebony Penn?
The National Provider Identifier (NPI) for Ebony Penn is 1477137693, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-12.