NPI 1003109646

Professional Pain Management, LLC

Organisation Family Nurse Practitioner Cleveland, TN

Practice location

Address: 301 Keith St SW Suite 204, Cleveland, TN 37311-5808
Phone: (423) 790-7500
Fax: (423) 790-5299
Mailing address: PO Box 4350, Cleveland, TN 37320-4350

Authorised official

Name: David S. Cofer
Title: Owner
Phone: (423) 790-7500

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 13528 (TN)

Other Nurse Practitioner providers in Tennessee →

Registry record

NPI: 1003109646
Entity type: Organization
NPI issued: 16 May 2011
Record last updated: 16 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.