Provider Demographics
NPI:1134891344
Name:DENNY, EMILY MICHELLE (FNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MICHELLE
Last Name:DENNY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 583
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-0583
Mailing Address - Country:US
Mailing Address - Phone:336-246-9449
Mailing Address - Fax:
Practice Address - Street 1:413 MCCONNELL ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-9772
Practice Address - Country:US
Practice Address - Phone:336-246-9449
Practice Address - Fax:336-246-8163
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5015149363LF0000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No251K00000XAgenciesPublic Health or Welfare