Individual
MS. JILL MARIE EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA II
Contact information
Practice address
4605 DUBOIS DR, VANCOUVER, WA 98661-6041
(360) 798-2420
Mailing address
4605 DUBOIS DR, VANCOUVER, WA 98661-6041
(360) 798-2420
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
200710022CNA
OR
376K00000X
Nurse's Aide
NC10089902
WA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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