Provider Demographics
NPI:1619466844
Name:COHEN, HERSHENTA (MD)
Entity Type:Individual
Prefix:
First Name:HERSHENTA
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 W OAKLAND AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2192
Mailing Address - Country:US
Mailing Address - Phone:423-302-6565
Mailing Address - Fax:423-302-6565
Practice Address - Street 1:13348 MEERGATE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-5130
Practice Address - Country:US
Practice Address - Phone:904-712-1835
Practice Address - Fax:904-644-9590
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-025692084P0800X
ORMD2140822084P0800X
VA1012779412084P0800X
TN683112084P0800X
WI3426-3202084P0800X
WAIMLC.MD.614277852084P0800X
TXU37092084P0800X
FLME1538342084P0800X
MN752372084P0800X
GA953782084P0800X
KS04-471902084P0800X
MIEMC00044932084P0800X
AK2025832084P0800X
NY3190872084N0400X
CT767002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry