IndividualActive
Emmie Park, NNP
NPI 1912419151 · Neonatal Nurse Practitioner · Augusta, GA
Provider details
- NPI number
- 1912419151
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN227108 (GA)
Practice location
1120 15th St # 6033
Augusta, GA 30912-0004
Phone: (706) 721-2331
Fax: (706) 721-7531
Mailing address
1499 Walton Way Ste 1400
Augusta, GA 30901-2603
Registry dates
- Enumerated
- 2017-10-27
- Last updated
- 2017-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.