Individual provider · Type 1 NPI

Emily Jackson Gardner

Nurse Practitioner · Johnson City, TN

NPI number 1891673463 Active

Practice location

301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641

Mailing address

820 Old Stage Rd
Gray, TN 37615-3845

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X39551 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1891673463

Emily Jackson Gardner's National Provider Identifier is 1891673463, issued on Aug 22, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Johnson City, TN. The record was last updated on Aug 22, 2025.