Individual provider · Type 1 NPI

Emma Elise Fillmore, AGPCNP-BC

Adult Health Nurse Practitioner · Detroit, MI

NPI number 1114870599 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X2025063454 (MI)
Adult Health Nurse Practitioner Primary 363LA2200X4704374723 (MI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1114870599

Emma Elise Fillmore, AGPCNP-BC's National Provider Identifier is 1114870599, issued on Feb 17, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Mar 30, 2026.