Individual provider · Type 1 NPI

Heather L. Coburn, PA-C

Medical Physician Assistant · Johnson City, TN

NPI number 1932165545 Active

Practice location

1019 W Oakland Ave, Suite 1
Johnson City, TN 37604

Fax (423) 915-5045

Other practice locations

  • 378 Marketplace Dr Ste 5, Johnson City, TN 37604-2361 · (423) 282-0751

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01205 (TN)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1932165545

Heather L. Coburn, PA-C's National Provider Identifier is 1932165545, issued on Apr 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Johnson City, TN. The record was last updated on Jun 4, 2018.