Individual
EMILY JACKSON GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2641
(423) 794-5520
Mailing address
820 OLD STAGE RD, GRAY, TN 37615-3845
(423) 557-7960
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
39551
TN
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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