Individual
COURTNEY FAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
710 CARL PERKINS PKWY, TIPTONVILLE, TN 38079-1678
(731) 253-6690
(731) 253-6692
Mailing address
1720 E REELFOOT AVE STE 200, UNION CITY, TN 38261-6049
(731) 507-0272
(731) 507-0273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000017625
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q005152
—
TN
Enumeration date
11/01/2013
Last updated
07/15/2023
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