East Tennessee State University
NPI #1851526826 in Jonesborough, Tennessee
Provider Information
- NPI Number
- 1851526826
- Entity Type
- Organization
- Organization Name
- East Tennessee State University
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- May 20, 2009
- Last Updated
- Jul 9, 2015
Practice Location
- Address
- 306 FORREST DR
- City
- Jonesborough
- State
- Tennessee
- ZIP Code
- 37659-1550
- Phone
- (423) 913-3167
Authorized Official
- Name
- DR. DAVID C. COLLINS
- Title
- CFO, VP FINANCE & ADMINISTRATION
- Phone
- (423) 439-5884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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