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Individual

JAMES W EMBRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS 39525-3305
(228) 364-9001
(228) 364-9004
Mailing address
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS 39525-3305
(228) 364-9001
(228) 364-9004

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP05425
LA
363LF0000X
Family Nurse Practitioner
Primary
R881886
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03383302
MS
Enumeration date
02/06/2008
Last updated
08/14/2023
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