Individual
CHARLES P. COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
807 UNIVERSITY PARKWAY, ROY S NICKS HALL, ROOM 160, JOHNSON CITY, TN 37614-7113
(423) 439-4225
(423) 439-4560
Mailing address
PO BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4078
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
104366
NC
363LF0000X
Family Nurse Practitioner
Primary
APN0000013655
TN
Other
Enumeration date
10/17/2005
Last updated
02/19/2009
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