Individual
TAMMIE L EMERSON-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
71 MEDICAL LN, WHITLEY CITY, KY 42653-4216
(606) 376-7212
Mailing address
PO BOX 54, 728 WILBURN ROSS HWY, STEARNS, KY 42647-0054
(606) 376-9544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3202P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78004090
—
KY
Enumeration date
11/23/2005
Last updated
01/15/2010
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