Provider Demographics
NPI:1942269477
Name:JOERLING, DEBORAH C (FNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:C
Last Name:JOERLING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4609
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-4609
Mailing Address - Country:US
Mailing Address - Phone:423-569-7918
Mailing Address - Fax:423-569-8640
Practice Address - Street 1:20445 ALBERTA ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-3509
Practice Address - Country:US
Practice Address - Phone:423-569-6396
Practice Address - Fax:423-569-8640
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8338363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN0109OtherJOHN DEERE INS.
KY357407OtherANTHEM BCBS
TN3906883Medicaid
KY78019932Medicaid
TN4098426OtherBCBS
S50701Medicare UPIN
TN3906883Medicare ID - Type Unspecified