Individual
SUSAN R GOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3360 HIGHWAY 411 N, ENGLEWOOD, TN 37329-5276
(423) 887-5131
(423) 887-5917
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14943
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522908
—
TN
Enumeration date
04/01/2010
Last updated
08/10/2021
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