Healthcare Provider Details

I. General information

NPI: 1346570017
Provider Name (Legal Business Name): JEM SCOTT-EMUAKPOR MCBRIDE DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JEM SCOTT-EMUAKPOR DVM

II. Dates (important events)

Enumeration Date: 01/01/2010
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 FULTON ST BLDG. 14
DURHAM NC
27705-3875
US

IV. Provider business mailing address

508 FULTON ST BLDG. 14
DURHAM NC
27705-3875
US

V. Phone/Fax

Practice location:
  • Phone: 919-286-0411
  • Fax:
Mailing address:
  • Phone: 919-286-0411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number5054
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code174MM1900X
TaxonomyMedical Research Veterinarian
License Number5054
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: