MEDICARE: EMMA CAROLINE BANKS FNP-C

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	363LF0000X	Family Nurse Practitioner	1-193388	AL

General Provider Information

NPI Number	:	1821948282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA CAROLINE BANKS FNP-C

Provider Business Mailing Address
First Line	:	12205 COUNTY LINE RD STE B
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-7720
Country	:	US
Telephone Number	:	256-325-6722
Fax Number	:	256-325-8457

Provider Business Practice Location Address
First Line	:	12205 COUNTY LINE RD STE B
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-7720
Country	:	US
Telephone Number	:	256-325-6722
Fax Number	:	256-325-8457

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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