| Doctor Name: | MRS. EMILY BETH LONG |
| NPI Number: | 1053509844 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | RN275072 |
| Business Practice Address: | 4961 Roberts Rd Hilliard, OH - 430268129 |
| Business Phone Number: | 6148502407 |
| Business Fax Number: | |
| Mailing Address: | 111 Apple Blossom Rd Sw, PATASKALA |
| State: | OH |
| Postal Code: | 430628697 |
| Phone Number: | 7409640092 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2007 |
| NPI Last Update Date: | 01/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN275072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |