EMILYN WHITE WAGNER (NPI# 1811532864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811532864 |
| Entity Type | Individual |
| Full Name | EMILYN WHITE WAGNER |
| Other Name | EMILYN WHITE |
| Credential | DNP, FNP-C |
| Practice Address |
500 Holly Springs Rd Ste 101 Holly Springs NC 27540-6204 |
| Mailing Address |
3016 Bristol Creek Dr Apt 114 Morrisville NC 27560-7816 |
| Practice Telephone | 9197625113 |
| Mailing Telephone | 9196056024 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5012531 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 HOLLY SPRINGS RD STE 101 |
| City | HOLLY SPRINGS |
| State | NC |
| Zip Code | 27540-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366986937 | Holly Springs Feeding & Speech | Speech-Language Pathologist | 500 Holly Springs Rd Ste 101, Holly Springs, NC 27540-6204 | 2016-12-15 |
| 1699285742 | Jennifer Mary Forsman Stoyell | Nurse Practitioner | 500 Holly Springs Rd Ste 101, Holly Springs, NC 27540-6204 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612785 | Marina Isabel Mckeown | Speech-Language Pathologist | 1140 W Savannah Ridge Rd, Suite 111, Holly Springs, NC 27540 | 2019-07-26 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1699240937 | Kristen Shrum | Family Medicine | 401 Irving Parkway, Holly Springs, NC 27540 | 2018-10-12 |
| 1508369109 | Shannon Silsby | Nurse Practitioner | 1004 Werrington Dr Ste 200, Holly Springs, NC 27540 | 2018-03-10 |
| 1790212306 | Alex Nolan | Speech-Language Pathologist | 251 Center Street, Holly Springs, NC 27540 | 2017-05-12 |
| 1386190957 | Holly Springs Surgery Center, LLC | Clinic/Center | 600 Village Walk Drive, Holly Springs, NC 27540 | 2016-09-01 |
| 1568827723 | Leslie Clark Lively | Speech-Language Pathologist | 1140 W. Savannah Ridge Road, Suite 111, Holly Springs, NC 27540 | 2015-12-15 |
| 1124410667 | Back In Action of Holly Springs, Inc | Physical Therapist | 500 Village Walk Dr., Holly Springs, NC 27540 | 2015-02-20 |
| 1033559018 | Andrew John Krieger | Emergency Medicine | 5405 Bluet Ct, Holly Springs, NC 27540 | 2013-07-05 |
| 1598104200 | Atkins Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 144 Adrian Street, Holly Springs, NC 27540 | 2013-06-17 |
| Find all providers in zip 27540 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151684 | Robyn Black Caldwell | Nurse Practitioner | 550 South Craft Street, Holly Springs, MS 38635 | 2019-12-13 |
| 1508369109 | Shannon Silsby | Nurse Practitioner | 1004 Werrington Dr Ste 200, Holly Springs, NC 27540 | 2018-03-10 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1003349671 | Mary Blalock | Nurse Practitioner | 107 Lake Reserve Way, Holly Springs, GA 30115-4785 | 2017-04-10 |
| 1588103246 | Marshall Urgent Care | Nurse Practitioner | 1696 Crescent Meadows Dr, Holly Springs, MS 38635-7415 | 2017-02-14 |
| 1427458157 | Jennifer Ann Caviston | Nurse Practitioner | 781 Avent Ferry Rd # 310, Holly Springs, NC 27540-7776 | 2014-08-29 |
| 1568711638 | Zelma Allen | Nurse Practitioner | 2369 Highway 311, Holly Springs, MS 38635-8218 | 2012-09-05 |
| 1265781876 | Christle Chenille Stanton | Nurse Practitioner | 1700 Crescent Meadows Dr, Holly Springs, MS 38635-7417 | 2012-08-29 |
| 1871690263 | Richard Goodman Wiseman | Nurse Practitioner | 538 J M Ash Dr, Holly Springs, MS 38635-3238 | 2006-09-20 |
| 1780169623 | Monica Williams | Nurse Practitioner | 7212 Gb Alford Hwy, Holly Springs, NC 27540-7661 | 2018-09-26 |
| Find all providers in HOLLY SPRINGS | ||||
| City | HOLLY SPRINGS |
| Zip Code | 27540 |
Please comment or provide details below to improve the information on EMILYN WHITE WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.