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Emilye Jessica Grant, PHYSICIANASSISTANT
Physician Assistant in Decatur, Illinois
NPI 1396721189

Emilye Jessica Grant is a Physician Assistant based in Decatur, IL. Emilye Jessica Grant practices in Decatur, IL and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Emilye Jessica Grant is 1396721189 and holds a License No. PA30148 (Illinois).

The current practice location address for Emilye Jessica Grant is 1750 E Lake Shore Dr, Decatur, IL and can be reached out via phone at 217-464-1750 and via fax at 217-464-1469. You can also correspond with Emilye Jessica Grant through the mailing address at 1750 E LAKE SHORE DR, DECATUR, IL - 62521-3803 (mailing address contact number: 217-464-1750).

Location: 1750 E Lake Shore Dr, Decatur, IL, 62521-3803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396721189
Provider Name
Emilye Jessica Grant
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
1750 E Lake Shore Dr, Decatur, IL, 62521-3803
Phone Number
217-464-1750
Fax Number
217-464-1469
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1027626 05 LA
institution
Provider Business Practice Location Address Details
Address
1750 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3803
Phone Number
217-464-1750
Fax Number
217-464-1469
person
Provider Business Mailing Address Details
Address
1750 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3803
Phone Number
217-464-1750
Fax Number
217-464-1469
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA200169 (Louisiana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA30148 (District of Columbia)
Definition
Definition to come...
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