Individual provider · Type 1 NPI
Emily Jane Light
Psychiatric/Mental Health Nurse Practitioner · Melbourne, FL
NPI number
1275356370
Active
Practice location
5545 N Wickham Rd Ste 110
Melbourne, FL 32940-7323
Mailing address
887 Gazebo Cir Apt 6208
Melbourne, FL 32904-5240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN9609842 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11039936 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1275356370
Emily Jane Light's National Provider Identifier is 1275356370, issued on Nov 6, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Melbourne, FL. The record was last updated on Jun 4, 2025.