Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Jane Light

Individual provider Registered Nurse · NPI 1275356370

Emily Jane Light is a Nurse Practitioner in Melbourne, Florida. Qualified in 2025, 1 year ago. Practices with Adult and Child Counseling and Psychiatric Center, PA, a 13-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

5545 N Wickham Rd Ste 110
Melbourne, FL 32940-7323
Phone: (321) 779-9838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11039936 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9609842 (FL)

Record details

NPI number1275356370
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2024
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address887 Gazebo Cir Apt 6208, Melbourne, FL 32904-5240

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Adult And Child Counseling And Psychiatric Center, P.A — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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