Individual
EMMA SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1276 GILBREATH DR, JOHNSON CITY, TN 37614-6503
(423) 439-1000
Mailing address
1276 GILBREATH DR, JOHNSON CITY, TN 37614-6503
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
04/14/2026
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