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NPI Code Detail

MEDICARE: PAULA DARLENE COX FNP

MEDICARE: PAULA DARLENE COX FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN06120TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23036945OTHERTNBLUECROSSBLUESHIELD
3TN0146OTHERTNJOHN DEERE

General Provider Information

NPI Number : 1932139490
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA DARLENE COX FNP
Provider Business Mailing Address
First Line : PO BOX 70403
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37614-1703
Country : US
Telephone Number : 423-439-4078
Fax Number : 423-439-4060
Provider Business Practice Location Address
First Line : 1901 S SHADY ST
Second Line :
City : MOUNTAIN CITY
State : TN
Zip : 37683-2021
Country : US
Telephone Number : 423-727-1150
Fax Number : 423-727-1152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 02/14/2008

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