Provider Demographics
NPI:1437621406
Name:USSERY, EMILY (FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:USSERY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 CHIPWOOD PATH
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-1434
Mailing Address - Country:US
Mailing Address - Phone:770-510-9951
Mailing Address - Fax:
Practice Address - Street 1:1780 PEACHTREE PKWY # 302
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6834
Practice Address - Country:US
Practice Address - Phone:770-772-1830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-01
Last Update Date:2019-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN216026363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily