Healthcare Provider Details

I. General information

NPI: 1073457412
Provider Name (Legal Business Name): EMILI DEVINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 PINNACLE RD STE D
PLEASANT VIEW TN
37146-8004
US

IV. Provider business mailing address

1804 PINNACLE RD STE D
PLEASANT VIEW TN
37146-8004
US

V. Phone/Fax

Practice location:
  • Phone: 931-249-2927
  • Fax: 931-249-2927
Mailing address:
  • Phone: 931-249-2927
  • Fax: 931-249-2927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9127
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: