Most Relevant Information
Provider Data
| NPI Number: | 1003400870 |
| Provider Name: | AMY JO EMERICK PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 28691 |
Most Important Dates
| Enumeration Date: | 02/23/2021 |
| Last Updated: | 02/23/2021 |
Provider Practice Location
509 N CEDAR AVE
COOKEVILLE
TN
385011707
Practice Location Phone/Fax
| Phone: | 9315208435 |
| Fax: |
Provider Mailing Location
509 N CEDAR AVE
COOKEVILLE
TN
385011707
Provider Mailing Phone/Fax
| Phone: | 9315208435 |
| Fax: |