Individual
EMILY CARISSA KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3810 LOUISIANA 22, MANDEVILLE, LA 70470
(985) 951-2185
Mailing address
PO BOX 1654, PICAYUNE, MS 39466-1654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09826
LA
Other
Enumeration date
02/26/2018
Last updated
03/17/2018
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