| NPI | 1952945537 |
|---|---|
| Former Name | JACKIE EMORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020011329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5379802) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2025-01-20 |