Individual
MRS. AMBER CELESTE COOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
325 N STATE OF FRANKLIN RD, GROUND FLOOR, JOHNSON CITY, TN 37604
(423) 439-7320
Mailing address
3115 W WALNUT ST, CONDO #9, JOHNSON CITY, TN 37604-5800
(865) 789-2969
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
21483
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q028838
—
TN
Enumeration date
08/28/2008
Last updated
01/17/2024
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