MEDICARE: EMILY JANE FORTUNE RN

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
1	163WE0003X	Emergency Registered Nurse	28288779A	IN

General Provider Information

NPI Number	:	1720930225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY JANE FORTUNE RN

Provider Business Mailing Address
First Line	:	6050 ROMAINE RD
Second Line	:
City	:	POSEYVILLE
State	:	IN
Zip	:	47633-8814
Country	:	US
Telephone Number	:	812-485-4491
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 WASHINGTON AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0541
Country	:	US
Telephone Number	:	812-485-4491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ EMILY JANE FORTUNE RN” Practice Location

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