Healthcare Provider Details

I. General information

NPI: 1174447577
Provider Name (Legal Business Name): EMMA JANE SAYERSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 VAUGHN RD
BURLINGTON NC
27217-2863
US

IV. Provider business mailing address

2826 EGERT DR
HAW RIVER NC
27258-8861
US

V. Phone/Fax

Practice location:
  • Phone: 336-532-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL008882
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: