Individual provider · Type 1 NPI

Corey B. Cogburn, LPN

Licensed Practical Nurse · Martin, TN

NPI number 1720358336 Active

Practice location

920 University St
Martin, TN 38237-1605

Fax (731) 588-5834

Mailing address

PO Box 640
Mcminnville, TN 37111-0640

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0000075787 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1720358336

Corey B. Cogburn, LPN's National Provider Identifier is 1720358336, issued on Jan 12, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Martin, TN. The record was last updated on Jan 12, 2012.