Embry, James W

Embry, James W is an individual health care provider with primary practice located at 4402 E Aloha Dr Ste 16 , Diamondhead MS 39525-3305. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Embry, James W can be contacted via phone (228) 364-9001.

Contact Information

Primary practice address
4402 E Aloha Dr Ste 16 Diamondhead MS 39525-3305
Phone: (228) 364-9001
Fax: (228) 364-9004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP05425 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R881886 Mississippi

Profile Details

NPI number 1154509628
LBN Legal business name Embry, James W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Aug 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154509628 NPPES
Mississippi MEDICAID 03383302

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