Individual
COURTNEY MARIE BECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
641 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5014
(865) 428-0583
(865) 428-1625
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13631
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3706637
MEDICARE GROUP
TN
Enumeration date
09/05/2008
Last updated
03/10/2017
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