Individual
DR. ERNEST DAVID MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
2151 CENTURY LN, JOHNSON CITY, TN 37604-4469
(423) 926-2500
(423) 926-5999
Mailing address
365 STOUT DRIVE, BOX 70403, JOHNSON CITY, TN 37614
(423) 433-6057
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24833
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24833
LICENSE
TN
Enumeration date
10/16/2018
Last updated
10/16/2018
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