Individual
JESSICA EMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6096 FOUNTAIN POINTE, GRAND BLANC, MI 48439-7751
(810) 691-8899
Mailing address
6096 FOUNTAIN POINTE, GRAND BLANC, MI 48439-7751
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704260116
MI
Other
Enumeration date
05/26/2022
Last updated
10/07/2024
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