Individual
COURTNEY BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 N STATE OF FRANKLIN RD STE 400, JOHNSON CITY, TN 37604-6051
(423) 979-6000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29993
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29993
LICENSE NUMBER
TN
Enumeration date
08/13/2021
Last updated
02/26/2024
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