Basic Information
| Provider Information | |||||||||
| NPI: | 1710350400 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEAL | ||||||||
| FirstName: | EMILY | ||||||||
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| Credential: | CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 909 E 2ND ST | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450051700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377468357 | ||||||||
| FaxNumber: | 9377461992 | ||||||||
| Practice Location | |||||||||
| Address1: | 4859 NIXON PARK DR | ||||||||
| Address2: | SUITE A | ||||||||
| City: | MASON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450408106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134925940 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2015 | ||||||||
| LastUpdateDate: | 01/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 18294 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.