Womack, Emma

Womack, Emma is an individual health care provider with primary practice located at 5430 Executive Pl Ste 2G , Jackson MS 39206-4134. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Womack, Emma can be contacted via phone (769) 235-6145.

Contact Information

Primary practice address
5430 Executive Pl Ste 2G Jackson MS 39206-4134
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X Mississippi
Nursing Service Related Providers / Homemaker 376J00000X Mississippi

Profile Details

NPI number 1174037881
LBN Legal business name Womack, Emma
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2017
Last updated Nov 25th, 2017 - about 7 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 1174037881 NPPES
Mississippi MEDICAID 09207260
Mississippi MEDICAID 00487044

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