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Mr. Gordon Coburn, APRN,BC
Psychiatric/Mental Health Nurse Practitioner in Johnson City, Tennessee
NPI 1396810529

Gordon Coburn is a Psychiatric/Mental Health Nurse Practitioner based in Johnson City, TN and is specialized in Psychiatric/Mental Health. Gordon Coburn practices in Johnson City, TN and has the professional credentials of APRN,BC. The NPI Number for Gordon Coburn is 1396810529 and holds a License No. 11054 (Tennessee).

The current practice location address for Gordon Coburn is 119 Boone Ridge Dr, Johnson City, TN and can be reached out via phone at 423-282-1480 and via fax at 423-928-1353.

Location: 119 Boone Ridge Dr, Johnson City, TN, 37615-4998
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Provider Profile Details
NPI Number
1396810529
Provider Name
Gordon Coburn
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Male
Address
119 Boone Ridge Dr, Johnson City, TN, 37615-4998
Phone Number
423-282-1480
Fax Number
423-928-1353
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1504748 05 TN
Q008267 05 TN
institution
Provider Business Practice Location Address Details
Address
119 Boone Ridge Dr
City
State
Zip
37615-4998
Phone Number
423-282-1480
Fax Number
423-928-1353
person
Provider Business Mailing Address Details
Address
119 Boone Ridge Dr
City
State
Zip
37615-4998
Phone Number
423-282-1480
Fax Number
423-928-1353
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
11054 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11054 (Tennessee)
Definition
Definition to come...
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