MEDICARE: EMMA JAYNE PHIPPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	6790	TN

General Provider Information

NPI Number	:	1083593198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA JAYNE PHIPPS

Provider Business Mailing Address
First Line	:	1215 FALLING TREE CT
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-3141
Country	:	US
Telephone Number	:	615-618-3839
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 STONECREST PKWY STE 202
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6898
Country	:	US
Telephone Number	:	615-459-3330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	02/04/2026

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Directions to “ EMMA JAYNE PHIPPS ” Practice Location

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