Provider Demographics
NPI:1942925565
Name:CAHOON, EMMA JEAN (RN)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:JEAN
Last Name:CAHOON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 LAKEWOOD DR S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-4936
Mailing Address - Country:US
Mailing Address - Phone:863-234-9696
Mailing Address - Fax:
Practice Address - Street 1:1822 LAKEWOOD DR S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-4936
Practice Address - Country:US
Practice Address - Phone:863-234-9696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9540044163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse