Individual
TERRY EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
252210
TX
363LN0000X
Neonatal Nurse Practitioner
252210
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP104642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1877
—
TX
05
—
187731801
—
TX
05
—
187731802
—
TX
05
—
187731803
—
TX
05
—
187731804
—
TX
05
—
200079990A
—
OK
05
—
36258270
—
NM
Enumeration date
10/25/2007
Last updated
05/03/2016
Update your record
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