Provider Demographics
NPI:1659631794
Name:CROSS, EMILY K (APN)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:K
Last Name:CROSS
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:6077 PRIMACY PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5742
Mailing Address - Country:US
Mailing Address - Phone:901-725-8347
Mailing Address - Fax:901-259-7637
Practice Address - Street 1:1244 PRIMACY PKWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-0201
Practice Address - Country:US
Practice Address - Phone:901-641-3000
Practice Address - Fax:901-767-8666
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2019-06-17
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Provider Licenses
StateLicense IDTaxonomies
TNAPN14090363LA2200X
TNRN142205163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0723280001Medicare NSC