DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB MARK EBNER, PA-C

Active

Physician Assistant · NEWARK, DE

Registration Details

NPI Number
1316627813
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2023 (2.7579565178972 yrs)
Last Updated
Nov 29, 2024
License
C5-0012175 (DE)

Practice Information

Address
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE, 197182200
Browse DE providers · Browse ZIP 19718
Phone
3027331663
Fax
3027334533
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in NEWARK, DE

Name Credential NPI
THOMAS EDWARDS PA-C 1194720672
REBECCA LYNN YOURINSON PAC 1104825579
KRISTEN D. MARRA PA-C 1689673634
MR. DAVID L FRIESWYK PA-C 1023019247
MRS. CRISTINA L. BONILLA-COOKE PA-C 1003897216
AMANDA WOJEWODKA CANAVAN PA-C 1154307759
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.