Individual
EMILY NICOLE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
283 DUSTIN LN NW, MADISON, AL 35757-6972
(256) 783-1536
Mailing address
283 DUSTIN LN NW, MADISON, AL 35757-6972
(256) 783-1536
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-178818
AL
363LF0000X
Family Nurse Practitioner
4008951
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2021
Last updated
12/04/2025
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