Provider Demographics
NPI:1023899051
Name:JUSTICE, EMALEE LAUREN (PA-C)
Entity type:Individual
Prefix:
First Name:EMALEE
Middle Name:LAUREN
Last Name:JUSTICE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:EMALEE
Other - Middle Name:LAUREN
Other - Last Name:PRESSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1940 ALCOA HWY STE 210
Mailing Address - Street 2:BUILDING E, SUITE 210
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-2264
Mailing Address - Country:US
Mailing Address - Phone:865-524-7471
Mailing Address - Fax:
Practice Address - Street 1:1940 ALCOA HWY STE 210
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2264
Practice Address - Country:US
Practice Address - Phone:865-524-7471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant