Mr. Gordon Coburn is a Johnson City, Tennessee based nurse practitioner who is specialized as Adult Health nurse. Active license number of Mr. Gordon Coburn is 11054 for Psych/Mental Health in Tennessee. His current practice location is 119 Boone Ridge Dr, Suite 201, Johnson City. Patients can reach him at 423-282-1480 or can fax him at 423-928-1353. Mr. Gordon Coburn is APRN, BC with specialization in Adult Health and his NPI number (Unique professional ID assigned by NPPES) is 1396810529. Mr. Gordon Coburn can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. He can see patients and promote healthy living and wellness. He can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mr. Gordon Coburn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Gordon Coburn
Specialization:
Adult Health Nurse Practitioner (ANP)
Gender:
Male
Credentials:
APRN, BC
Practice Address:
119 Boone Ridge Dr, Suite 201, Johnson City, Tennessee, 37615-4998
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1396810529
NPI Enumeration Date:
22 Nov, 2006
NPI Last Update On:
28 Apr, 2015
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Gordon Coburn are as mentioned below.
License Number
Specialization
State
Status
11054
Psych/Mental Health
Tennessee
Primary
11054
Adult Health
Tennessee
Secondary
0024166489
Adult Health
Virginia
Secondary
0024166489
Psych/Mental Health
Virginia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Gordon Coburn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1504748
Medicaid
Tennessee
Q008267
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Gordon Coburn 119 Boone Ridge Dr, Suite 201 Johnson City, Tennessee
Zip:
37615-4998
Phone Number:
423-282-1480
Fax Number:
423-928-1353
Patients can reach Mr. Gordon Coburn at 119 Boone Ridge Dr, Suite 201, Johnson City, Tennessee or can call to book an appointment on 423-282-1480.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.