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General NPI Number Information
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NPI Number | 1578237947
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Entity Type | Individual
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Provider Name | EMILY NICOLE EARNEST FNP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 3685 S HOUSTON LEVEE RD
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City | COLLIERVILLE
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State | TN
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Zip | 38017-9009
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Country | US
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Telephone | 901-453-2933
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Fax | 901-457-2934
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Provider Business Mailing Address
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Address Line | PO BOX 932958
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City | CLEVELAND
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State | OH
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Zip | 44193-0028
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R897289
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 904597
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 29692
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License Number State | TN
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