Provider Demographics
NPI:1376219535
Name:EMERSON, AMY ELIZABETH (BSN,CD(DONA), LCCE)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:EMERSON
Suffix:
Gender:F
Credentials:BSN,CD(DONA), LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 W 113TH CT S
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-1729
Mailing Address - Country:US
Mailing Address - Phone:918-695-8402
Mailing Address - Fax:
Practice Address - Street 1:2303 W 113TH CT S
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-1729
Practice Address - Country:US
Practice Address - Phone:918-695-8402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula