Provider Demographics
NPI:1659952646
Name:HEUKER, EMILY NICOLE (DO)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:NICOLE
Last Name:HEUKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3608 MEDICAL PARK CT
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4347
Mailing Address - Country:US
Mailing Address - Phone:252-247-3476
Mailing Address - Fax:252-247-3478
Practice Address - Street 1:3608 MEDICAL PARK CT
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4347
Practice Address - Country:US
Practice Address - Phone:252-247-3476
Practice Address - Fax:252-247-3478
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2024-00385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine