Healthcare Provider Details

I. General information

NPI: 1942925565
Provider Name (Legal Business Name): EMMA JEAN CAHOON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5156 PLUMERIA DR
WIMAUMA FL
33598-4292
US

IV. Provider business mailing address

5156 PLUMERIA DR
WIMAUMA FL
33598-4292
US

V. Phone/Fax

Practice location:
  • Phone: 863-234-9696
  • Fax:
Mailing address:
  • Phone: 863-234-9696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9540044
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberAPRN11043615
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: