Individual
JILLIAN T EMMERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 MACLAINE WAY, SHEPHERDSTOWN, WV 25443-1667
(304) 876-6343
Mailing address
60 MACLAINE WAY, SHEPHERDSTOWN, WV 25443-1667
(304) 876-6343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124832
WV
363LF0000X
Family Nurse Practitioner
Primary
124832
WV
Other
Enumeration date
01/12/2026
Last updated
03/04/2026
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