Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMILYE JESSICA GRANT, PHYSICIAN ASSISTANT
ActiveEMILYE JESSICA GRANT, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in DECATUR, Illinois. NPI 1396721189 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DECATUR, IL
Registration Details
- NPI Number
- 1396721189
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2005 (20.601794440589 yrs)
- Last Updated
- Oct 21, 2025
- Licenses
-
PA200169 (LA)085005568 (IL)PA30148 (DC)
Practice Information
- Address
-
1750 E LAKE SHORE DRDECATUR, IL, 625213803Browse IL providers · Browse ZIP 62521
- Phone
- 2174641750
- Fax
- 2174641469
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| WAYNE ALLEN MATHEWS | PAC | 1891786943 |
| MR. BRIAN P JACQUOT | P.A.-C | 1053369546 |
| JAMES V WRIGHT | PA-C | 1497774095 |
| AMANDA C SHILS | P.A. | 1740399880 |
| JENNIFER R SUNDERLAND | PA-C | 1659475655 |
| PAUL GURLEY | PA-C | 1003911918 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.