Provider Demographics
NPI:1063028876
Name:AIKEN, EMMA GRACE (PA-C)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:GRACE
Last Name:AIKEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:
Practice Address - Street 1:310 25TH AVE N STE 204
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2492
Practice Address - Country:US
Practice Address - Phone:615-327-2200
Practice Address - Fax:615-327-2842
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN4285363A00000X
TN4198363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant