Provider Demographics
NPI:1275149155
Name:MOREFIELD, EMILY (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:MOREFIELD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CONSTITUTION AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-7247
Mailing Address - Country:US
Mailing Address - Phone:423-512-2869
Mailing Address - Fax:
Practice Address - Street 1:209 CONSTITUTION AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-7247
Practice Address - Country:US
Practice Address - Phone:423-512-2869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily