Provider Demographics
NPI:1316616584
Name:COUCH, MEGAN C (NP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:C
Last Name:COUCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 632476
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2476
Mailing Address - Country:US
Mailing Address - Phone:423-794-5890
Mailing Address - Fax:423-282-3506
Practice Address - Street 1:4 LIMITED CENTRE ST STE 103
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2498
Practice Address - Country:US
Practice Address - Phone:423-794-5890
Practice Address - Fax:423-282-3506
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN29831363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner