Healthcare Provider Details

I. General information

NPI: 1134047079
Provider Name (Legal Business Name): EMILY ANN BAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10721 CHAPMAN HWY
SEYMOUR TN
37865-4765
US

IV. Provider business mailing address

1436 BAKER RD
SEVIERVILLE TN
37876-2567
US

V. Phone/Fax

Practice location:
  • Phone: 865-609-1036
  • Fax:
Mailing address:
  • Phone: 865-712-2920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number49963
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: