# INPATIENT CONSULTANTS OF TENNESSEE, P.C.

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

## Provider details

- **NPI number:** 1629433081
- **Authorized official:** JASEN GUNDERSEN MD (SHAREHOLDER)
- **Authorized official phone:** (423) 282-1480

## Contact information

- **Practice address:** 119 BOONE RIDGE DR STE 201, JOHNSON CITY, TN 37615-8000
- **Practice address phone:** (423) 282-1480
- **Practice address fax:** (423) 928-1353
- **Mailing address:** 119 BOONE RIDGE DR STE 201, JOHNSON CITY, TN 37615-8000
- **Mailing address phone:** (423) 282-1480
- **Mailing address fax:** (423) 928-1353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |
| 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