Individual
MS. EMILEE GRACE DISHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3975
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3975
STATE OF TN
TN
Enumeration date
09/16/2019
Last updated
01/05/2026
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