Provider Demographics
NPI:1750995031
Name:WILLIAMS, EMMA CAHOON (FNP)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CAHOON
Last Name:WILLIAMS
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 100
Mailing Address - Street 2:
Mailing Address - City:SWANQUARTER
Mailing Address - State:NC
Mailing Address - Zip Code:27885-0100
Mailing Address - Country:US
Mailing Address - Phone:252-926-4399
Mailing Address - Fax:252-926-0038
Practice Address - Street 1:1151 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SWAN QUARTER
Practice Address - State:NC
Practice Address - Zip Code:27885
Practice Address - Country:US
Practice Address - Phone:252-926-4399
Practice Address - Fax:252-926-0038
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013504363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily