Individual
EMMIE NORRELL LONGSHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21178 MAIN STREET, RANBURNE, AL 36273
(938) 526-0010
(938) 526-0011
Mailing address
222 GORDON ST, BREMEN, GA 30110-1519
(770) 537-1234
(770) 537-1237
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-196334
AL
363LF0000X
Family Nurse Practitioner
RN233967
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861915647
GROUP NPI
GA
Enumeration date
09/10/2016
Last updated
03/20/2025
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