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NPI Code Detail

MEDICARE: EMILY BROOKE LANDIS-HAMPTON APRN, FNP-C

MEDICARE: EMILY BROOKE LANDIS-HAMPTON APRN, 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
1363LF0000XFamily Nurse Practitioner4041564KY

General Provider Information

NPI Number : 1821989757
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BROOKE LANDIS-HAMPTON APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 959
Second Line :
City : HAZARD
State : KY
Zip : 41702-0959
Country : US
Telephone Number : 606-439-2662
Fax Number :
Provider Business Practice Location Address
First Line : 1908 N MAIN ST
Second Line :
City : HAZARD
State : KY
Zip : 41701-2505
Country : US
Telephone Number : 606-439-2662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2025
Last Update Date : 03/10/2026

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