Mr. Gordon Coburn
APRN, BC | Nurse Practitioner - Adult Health
119 Boone Ridge Dr, Suite 201, Johnson City
Tennessee, 37615-4998
423-282-1480
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 |
| Phone: | 423-282-1480 |
| Fax: | 423-928-1353 |
Professional Identification Codes:
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.