Individual
MS. EMILY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1811 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-7400
(252) 243-3291
Mailing address
1811 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-7400
(252) 243-3291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5650
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5650
LISCENSE NUMBER
NC
Enumeration date
10/29/2014
Last updated
10/29/2014
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