Individual
MS. COURTNEY WILLIAMSON SANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
363 SOUTHCREST CIR STE 103, SOUTHAVEN, MS 38671-4737
(662) 772-5222
(662) 772-5957
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
25843
TN
363LF0000X
Family Nurse Practitioner
Primary
903204
MS
Other
Enumeration date
02/20/2019
Last updated
06/17/2025
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