Individual
EMILY GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 TAYLOR RD, MONTGOMERY, AL 36117-3512
(334) 277-8330
Mailing address
101 LITTLE RD, TALLASSEE, AL 36078-7423
(334) 415-9900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-162691
AL
363L00000X
Nurse Practitioner
1-162691
AL
363LF0000X
Family Nurse Practitioner
Primary
1-162691
AL
Other
Enumeration date
02/17/2019
Last updated
08/03/2025
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