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NPI Code Detail

MEDICARE: DAVID EMMONS FNP

MEDICARE: DAVID EMMONS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5007949NC

General Provider Information

NPI Number : 1528436524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID EMMONS FNP
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10545 BLAIR RD
Second Line : SUITE 1200
City : MINT HILL
State : NC
Zip : 28227-2800
Country : US
Telephone Number : 704-863-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2015
Last Update Date : 07/18/2019

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