Provider Demographics
NPI:1376439935
Name:EMMONS, PAIGE ALIZABETH (RN)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:ALIZABETH
Last Name:EMMONS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4075 E THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:BRUCEVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47516-6344
Mailing Address - Country:US
Mailing Address - Phone:812-890-6884
Mailing Address - Fax:
Practice Address - Street 1:520 S 7TH ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1038
Practice Address - Country:US
Practice Address - Phone:812-882-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28296750A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse