Individual provider · Type 1 NPI

Emmie Norville Park, NNP

Neonatal Nurse Practitioner · Augusta, GA

NPI number 1912419151 Active

Practice location

1120 15th St # 6033
Augusta, GA 30912-0004

Call (706) 721-2331 Map

Fax (706) 721-7531

Mailing address

1499 Walton Way Ste 1400
Augusta, GA 30901-2603

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000XRN227108 (GA)

Neonatal Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1912419151

Emmie Norville Park, NNP's National Provider Identifier is 1912419151, issued on Oct 27, 2017. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Augusta, GA. The record was last updated on Nov 29, 2017.