Susan L Emmerich in Jacksonville - Pediatrics

Susan L Emmerich - NPI 1700909389

Susan L Emmerich is a Pediatrics in Jacksonville, Florida. Susan L Emmerich practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan L Emmerich is 1700909389. The last update date is 2023-03-07.

Susan L Emmerich's current location address is 1215 Dunn Ave, Jacksonville, Florida. You can contact this provider via phone number 9047571998 and fax number 9046967462. The mailing address for Susan L Emmerich is 1215 Dunn Ave, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan L Emmerich
Address 1215 Dunn Ave, Jacksonville, Florida
Phone Number 9047571998
Fax Number 9046967462
Sole Proprietor N
Credentials ARNP, CPNP

NPI Number Detail

NPI Number 1700909389
Provider Enumeration Date 2007-04-09
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1215 Dunn Ave
City Jacksonville
State Florida (FL)
Post Code 322186330
Phone Number 9047571998
Fax Number 9046967462

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No C056595
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C 056595 IA IA NURSE LISCENSE
5200629 IA STATE PHARMACY LISCENSE
ARNP9380555 FL FL STATE LICENSE

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FAQs about Susan L Emmerich

What is the Susan L Emmerich's 1700909389?

The Susan L Emmerich's NPI (National Provider Identifier) Number is 1700909389. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Susan L Emmerich is geographically located?

The Susan L Emmerich is physically situated at the following location: 1215 Dunn Ave, Jacksonville, FL, 322186330.

What is Susan L Emmerich's area of expertise and its corresponding taxonomy classification?

The Susan L Emmerich's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1700909389 to Susan L Emmerich?

The Susan L Emmerich received its 1700909389 assignment from the Centers for Medicare & Medicaid Services on 2007-04-09.

When was the information regarding Susan L Emmerich most recently updated?

The details pertaining to the Susan L Emmerich, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.

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