Individual
EMILY ROSE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4920 CHURCH ST STE E, ZACHARY, LA 70791-3580
(225) 658-1808
(225) 658-5922
Mailing address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 208-2656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
341571
LA
363AS0400X
Surgical Physician Assistant
341571
LA
Other
Enumeration date
10/10/2022
Last updated
03/10/2025
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