DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JUSTIN LUKE BOREN, PA

Active

Physician Assistant · COLUMBIA, TN

Registration Details

NPI Number
1053468199
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2007 (19.311551799131 yrs)
Last Updated
Aug 15, 2023
License
PA1296 (TN)

Practice Information

Address
832 WESTOVER DR STE 200
COLUMBIA, TN, 384014843
Browse TN providers · Browse ZIP 38401
Phone
9318303033
Fax
9313883401
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in COLUMBIA, TN

Name Credential NPI
MR. MICHAEL BACKUES MSM, ATC, PA-C 1114900131
JOHN NOVAK PA 1306807292
KATHLEEN D SHERMAN PA-C 1144281932
JOSEPH H COOPER PA 1386607588
THERESA ANN WALSH PA 1669545281
MIRANDA DAWN WOOD PA 1184751745
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.