Mottern, Joe David
Mottern, Joe David is an individual health care provider with primary practice located at 1410 Tusculum Blvd Suite 2300, Greeneville TN 37745-4286. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Mottern, Joe David can be contacted via phone (423) 823-5190.Contact Information
Primary practice address
1410 Tusculum Blvd Suite 2300
Greeneville TN 37745-4286
Phone: (423) 823-5190
Fax: (423) 823-5193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN00000100379 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN6999 | Tennessee |
Profile Details
| NPI number | 1043257843 |
|---|---|
| LBN Legal business name | Mottern, Joe David |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Feb 28th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043257843 | NPPES |
| Tennessee | MEDICAID | 3903829 | |
| Tennessee | MEDICAID | 3903822 | |
| Tennessee | MEDICAID | 3903821 | |
| Tennessee | Other | S58833 | |
| Tennessee | MEDICAID | 3903827 | |
| Tennessee | MEDICAID | 3903820 |
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