Provider Demographics
NPI:1902332828
Name:EMERSON, ALLISON S (NP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:S
Last Name:EMERSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18213 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:BOYKINS
Mailing Address - State:VA
Mailing Address - Zip Code:23827-2744
Mailing Address - Country:US
Mailing Address - Phone:757-654-9111
Mailing Address - Fax:757-654-0011
Practice Address - Street 1:18213 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:BOYKINS
Practice Address - State:VA
Practice Address - Zip Code:23827-2744
Practice Address - Country:US
Practice Address - Phone:757-654-9111
Practice Address - Fax:757-654-0011
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174808363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care