OrganizationActive
Professional Pain Management, LLC
NPI 1003109646 · Family Nurse Practitioner · Cleveland, TN
Provider details
- NPI number
- 1003109646
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- David Cofer, Owner(423) 790-7500
- License
- 13528 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
301 Keith St Sw
Suite 204
Cleveland, TN 37311-5808
Phone: (423) 790-7500
Fax: (423) 790-5299
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4350
Cleveland, TN 37320-4350
Registry dates
- Enumerated
- 2011-05-16
- Last updated
- 2011-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.