Individual
COURTNEY D CONKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
114986
TN
363LF0000X
Family Nurse Practitioner
0024172775
VA
363LF0000X
Family Nurse Practitioner
Primary
18898
TN
Other
Enumeration date
07/18/2014
Last updated
03/08/2021
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