Courtney Carroll, FNP-C
Nurse Practitioner, Family in Gray, TN. Individual provider (NPI-1).
NPI number1972069722
StatusActive
Last updated in NPPESApr 2, 2020
Details
- NPI
- 1972069722
- Entity type
- Individual (NPI-1)
- Name
- Courtney Carroll
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2019
- Certification date
- Apr 2, 2020
- Last updated
- Apr 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 25120 | TN | Yes |
Practice location
2103 Forest Dr Ste 5Gray, TN 37615-8423
Phone 423-794-3142
Mailing address
1326 Papermill Pointe WayKnoxville, TN 37909-1903
Phone 865-673-5000 · Fax 865-330-6323
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All 11 Family Nurse Practitioner providers in Gray · All 130 providers in Gray
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