Courtney White Roberson, NP
Nurse Practitioner in Dyersburg, TN. Individual provider (NPI-1).
NPI number1366073041
StatusActive
Last updated in NPPESNov 4, 2021
Details
- NPI
- 1366073041
- Entity type
- Individual (NPI-1)
- Name
- Courtney White Roberson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2020
- Certification date
- Nov 4, 2021
- Last updated
- Nov 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 27094 | TN | Yes |
Practice location
1575 Parr Ave, Suite BDyersburg, TN 38024
Phone 731-286-1510 · Fax 731-286-1510
Mailing address
160 W. University Pkwy, Suite CJackson, TN 38305
Phone 731-286-1510 · Fax 731-286-1510
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