Emma Jo Gracon
Nurse Practitioner - Family Medicine
700 University Bay Dr
Madison
, Wisconsin 53705-2263
Emma Jo Gracon
Nurse Practitioner - Family Medicine
700 University Bay Dr
Madison
, Wisconsin 53705-2263
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Emma Jo Gracon
- 1122 N Westfield Rd
- Madison, WI
- Zip : 53717-1038
- Phone :
Second Address
- Emma Jo Gracon
- 700 University Bay Dr
- Madison, WI
- Zip : 53705-2263
- Phone : (608) 263-7535
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 28209251A | IN |
National Provider Identifier
| NPI | 1003351552 |
|---|---|
| Provider Name | Emma Jo Gracon |
| First Address | Madison, WI 53717-1038 |
| Second Address | Madison, WI 53705-2263 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2016 |
| Last Update Date | 12/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.