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 |
Post Comment/ Review Below
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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