Organization
EAST TENNESSEE STATE UNIVERSITY
Active
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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