Individual
DEBORAH J HASSEBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1901 S SHADY STREET, MOUNTAIN CITY, TN 37683-2021
(423) 727-1150
(423) 727-1152
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024170118
VA
363LF0000X
Family Nurse Practitioner
Primary
16767
TN
363LF0000X
Family Nurse Practitioner
Primary
APN0000016767
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1206755
ST LIC
TN
05
—
1529530
—
TN
01
—
16767
ST LIC
TN
Enumeration date
07/30/2012
Last updated
07/28/2026
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