# TN DEPT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437298817
- **Authorized official:** MS. PATRICIA L BRADLEY RN (PHN 3)
- **Authorized official phone:** (423) 979-4607

## Contact information

- **Practice address:** 1233 SOUTHWEST AVE.EXT., JOHNSON CITY, TN 37604-6519
- **Practice address phone:** (423) 979-4607
- **Practice address fax:** (423) 979-3261
- **Mailing address:** 416 E MAIN ST, JONESBOROUGH, TN 37659-1416
- **Mailing address phone:** (423) 753-0221
- **Mailing address fax:** (423) 979-3261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | RN0000062004 | TN | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 07/02/2008