Individual
EMILY DEFOURNEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
44 HUGHES RD STE 100, MADISON, AL 35758-3045
(850) 233-3376
(850) 522-8354
Mailing address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4464
(502) 333-3768
(850) 522-8354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-144863
AL
Other
Enumeration date
12/16/2018
Last updated
06/17/2021
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