person
Heather L Coburn, PA-C
Medical Physician Assistant in Johnson City, Tennessee
NPI 1932165545

Heather L Coburn is a Medical Physician Assistant based in Johnson City, TN and is specialized in Medical. Heather L Coburn practices in Johnson City, TN and has the professional credentials of PA-C. The NPI Number for Heather L Coburn is 1932165545 and holds a License No. PA01205 (Tennessee).

The current practice location address for Heather L Coburn is 1019 W Oakland Ave, Johnson City, TN and can be reached out via phone at 423-915-5000 and via fax at 423-915-5045.

Location: 1019 W Oakland Ave, Johnson City, TN, 37604-2357
person
Provider Profile Details
NPI Number
1932165545
Provider Name
Heather L Coburn
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1019 W Oakland Ave, Johnson City, TN, 37604-2357
Phone Number
423-915-5000
Fax Number
423-915-5045
Provider Enumeration Date
04/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932165545 05 VA
Q003283 05 TN
institution
Provider Business Practice Location Address Details
Address
1019 W Oakland Ave
City
State
Zip
37604
Phone Number
423-915-5000
Fax Number
423-915-5045
person
Provider Business Mailing Address Details
Address
1019 W Oakland Ave
City
State
Zip
37604
Phone Number
423-915-5000
Fax Number
423-915-5045
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01205 (Tennessee)
Definition
Definition to come...
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