Provider Demographics
NPI:1013603554
Name:NOVOA, EMME LANE (FNP)
Entity type:Individual
Prefix:
First Name:EMME
Middle Name:LANE
Last Name:NOVOA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:EMME
Other - Middle Name:LANE
Other - Last Name:PRAYDICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1134 AMBERLEY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3800
Mailing Address - Country:US
Mailing Address - Phone:423-805-6586
Mailing Address - Fax:
Practice Address - Street 1:300 RIVERHILLS BUSINESS PARK STE 390
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35242-5037
Practice Address - Country:US
Practice Address - Phone:205-918-7186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3-001526363LF0000X
TN268977163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse