Gordon Coburn in Johnson City - Psychiatric/mental Health
Gordon Coburn - NPI 1396810529
Gordon Coburn is a Psychiatric/mental Health in Johnson City, Tennessee. Gordon Coburn practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Gordon Coburn is 1396810529. The last update date is 2015-04-28.
Gordon Coburn's current location address is 119 Boone Ridge Dr, Johnson City, Tennessee. You can contact this provider via phone number 4232821480 and fax number 4239281353. The mailing address for Gordon Coburn is 119 Boone Ridge Dr, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Coburn |
|---|---|
| Address | 119 Boone Ridge Dr, Johnson City, Tennessee |
| Phone Number | 4232821480 |
| Fax Number | 4239281353 |
| Sole Proprietor | N |
| Credentials | APRN, BC |
NPI Number Detail
| NPI Number | 1396810529 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2015-04-28 |
Provider Mailing Address Detail
| Address | 119 Boone Ridge Dr |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376154998 |
| Phone Number | 4232821480 |
| Fax Number | 4239281353 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 11054 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1504748 | TN | -- | |
| Q008267 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gordon Coburn by the Centers for Medicare & Medicaid Services?
The Gordon Coburn has been assigned the NPI (National Provider Identifier) 1396810529 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Gordon Coburn is physically located?
The Gordon Coburn is situated at the following address: 119 Boone Ridge Dr, Johnson City, TN 376154998.
What is the Gordon Coburn's specialty and taxonomy code?
The Gordon Coburn's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
On what date was the 1396810529 assigned to Gordon Coburn?
The Gordon Coburn was issued its 1396810529 on 2006-11-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gordon Coburn most recently updated?
The details pertaining to the Gordon Coburn, including its address, specialty, and other relevant information, were last refreshed on 2015-04-28.