Individual
MRS. EMILY R BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1705 W MAIN ST, LEBANON, TN 37087-4889
(615) 938-7171
Mailing address
1705 W MAIN ST, LEBANON, TN 37087-4889
(615) 938-7171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002470
VA
363A00000X
Physician Assistant
Primary
2129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225180086
—
VA
01
—
P00696498
MEDICARE RAILROAD
VA
Enumeration date
01/18/2007
Last updated
02/12/2026
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