Individual
EMILY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6569
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021021984
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420097404
—
MO
Enumeration date
06/16/2021
Last updated
04/03/2026
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