Emily Defourneaux, CRNP
Nurse Practitioner, Family in Madison, AL. Individual provider (NPI-1).
NPI number1841761814
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1841761814
- Entity type
- Individual (NPI-1)
- Name
- Emily Defourneaux
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2018
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-144863 | AL | Yes |
Practice location
44 Hughes Rd Ste 100Madison, AL 35758-3045
Phone 850-233-3376 · Fax 850-522-8354
Mailing address
2505 Harrison AvePanama City, FL 32405-4464
Phone 502-333-3768 · Fax 850-522-8354
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