Organization
RAYDIANCE, LLC
Active
Other names
RAYdiance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA SUSANNE EMERY DNP, FNP-BC, PMHNP-C (OWNER)
(423) 741-1481
Entity
Organization
Contact information
Practice address
631 SINASTA DR STE 4B, ERWIN, TN 37650-1724
(423) 741-1481
Mailing address
631 SINASTA DR STE 4B, ERWIN, TN 37650-1724
(423) 741-1481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
04/24/2025
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