Emilye Jessica Grant, PHYSICIAN ASSISTANT

NPI #1396721189 in Decatur, Illinois

Provider Information

NPI Number: 1396721189
Entity Type: Individual
Name: Emilye Jessica Grant, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Dec 22, 2005
Last Updated: Oct 21, 2025

Practice Location

Address: 1750 E LAKE SHORE DR
City: Decatur
State: Illinois
ZIP Code: 62521-3803
Phone: (217) 464-1750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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