Individual
JAIME L. EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CNP
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8305
(614) 293-3124
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-8305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
991354
CO
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022366
OH
363LF0000X
Family Nurse Practitioner
0991354-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65036549
—
CO
05
—
PENDING
—
OH
Enumeration date
08/23/2014
Last updated
03/15/2019
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