# EMCARA HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679230940
- **Authorized official:** SUSAN PORTER (CREDENTIALING MANAGER)
- **Authorized official phone:** (615) 630-0988

## Contact information

- **Practice address:** 10739 DEERWOOD PARK BLVD STE 200, JACKSONVILLE, FL 32256-4839
- **Practice address phone:** (800) 793-7050
- **Mailing address:** 113 SEABOARD LN STE 200B, FRANKLIN, TN 37067-8282
- **Mailing address phone:** (615) 905-6944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/22/2021
- **Last updated:** 07/10/2023