Organization
EAST TENNESSEE STATE UNIVERSITY
Active
Other names
Jonesborough Elementary School Based Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C. COLLINS (CFO, VP FINANCE & ADMINISTRATION)
(423) 439-5884
Entity
Organization
Contact information
Practice address
306 FORREST DR, JONESBOROUGH, TN 37659-1550
(423) 913-3167
(423) 753-1181
Mailing address
PO BOX 70403, 365 STOUT DRIVE, JOHNSON CITY, TN 37614-1703
(423) 439-4071
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
07/09/2015
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