Individual
JILLIAN JOHNSON EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2110 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 455-5189
(931) 393-2455
Mailing address
910 OAKHILL RD, JASPER, AL 35504-7467
(205) 387-0564
(205) 387-0568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3182
AL
235Z00000X
Speech-Language Pathologist
Primary
6530
TN
Other
Enumeration date
07/20/2012
Last updated
06/13/2019
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