Individual
JOAN CORNELIA MCCUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, PH.D.
Contact information
Practice address
2200 21ST AVE S STE 305, NASHVILLE, TN 37212-4929
(615) 310-8551
(615) 292-9323
Mailing address
728 MOLALLA AVE, OREGON CITY, OR 97045
(503) 656-9030
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000008438
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4087312
BCBS PROVIDER ID
TN
Enumeration date
03/05/2007
Last updated
11/18/2015
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