Provider Demographics
NPI:1205154952
Name:MCAULEY, EMILY JONES (RN, MSN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:JONES
Last Name:MCAULEY
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Gender:F
Credentials:RN, MSN, FNP-C
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Mailing Address - Street 1:157 PROFESSIONAL PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-5605
Mailing Address - Country:US
Mailing Address - Phone:704-662-3967
Mailing Address - Fax:704-662-3975
Practice Address - Street 1:157 PROFESSIONAL PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5605
Practice Address - Country:US
Practice Address - Phone:704-662-3967
Practice Address - Fax:704-662-3975
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2020-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC4163363LF0000X
NC203824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7006268Medicaid
NCNC8263AMedicare PIN