Organization
EMMANUEL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SEANDRIA F EVANS (ADMINISTATOR)
(662) 380-1978
Entity
Organization
Contact information
Practice address
2049 AMBERGATE LN APT 5, CORDOVA, TN 38016-4456
(662) 380-1978
Mailing address
2049 AMBERGATE LN APT 5, CORDOVA, TN 38016-4456
(662) 380-1978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17048
TN
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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