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Organization
INPATIENT CONSULTANTS OF TENNESSEE, P.C.
Active
Organization
INPATIENT CONSULTANTS OF TENNESSEE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASEN GUNDERSEN MD (SHAREHOLDER)
(423) 282-1480
Entity
Organization
Contact information
Practice address
119 BOONE RIDGE DR STE 201, JOHNSON CITY, TN 37615-8000
(423) 282-1480
(423) 928-1353
Mailing address
119 BOONE RIDGE DR STE 201, JOHNSON CITY, TN 37615-8000
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
NULL
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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