Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538036322 Individual Practitioner Female Practitioner

Ebony Elise Harris

Licensed Practical Nurse • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Ebony Harris is a registered healthcare professional specializing in Licensed Practical Nurse in Grand Rapids, MI. Practice services are available at 1264 GRIGGS ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1264 Griggs St Se

Grand Rapids, MI 495072842

Telephone 5179623947

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
132 Specialists

Practicing in Grand Rapids, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-17
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703122741

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2025

Registered at 1264 GRIGGS ST SE, GRAND RAPIDS, MI 495072842 (Tel: 5179623947)

📍
Updated Business Mailing Address October 17, 2025

Registered at 1264 GRIGGS ST SE, GRAND RAPIDS, MI 495072842

👤
Provider Name / Credentials Updated October 17, 2025

Recorded as EBONY HARRIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2025

Licensed Practical Nurse (License #4703122741 in MI)

🟢
Initial NPI Registration & Enumeration October 17, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538036322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2025
Last Update: October 17, 2025
Sole Proprietor: No

Mailing Address

1264 Griggs St Se

Grand Rapids, MI 495072842

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.