| Doctor Name: | MRS. REBECCA S EMMONS |
| NPI Number: | 1508114422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-113223 |
| Business Practice Address: | 2002 Mcmillan Ave Bay Minette, AL - 365074134 |
| Business Phone Number: | 2515808475 |
| Business Fax Number: | 5849370971 |
| Mailing Address: | 2002 Mcmillan Ave, BAY MINETTE |
| State: | AL |
| Postal Code: | 365074134 |
| Phone Number: | 2515808475 |
| Fax Number: | 2519370971 |
| NPI Enumeration Date: | 08/27/2012 |
| NPI Last Update Date: | 07/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0200X |
| License Number: | 1-113223 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |