Individual
COURTNEY VANCE BURGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1829 CROWE LN, NEWPORT, TN 37821-7264
(423) 623-0653
(423) 625-8264
Mailing address
125 CRYSTAL WAY, DEL RIO, TN 37727-2757
(828) 467-0645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25994
TN
Other
Enumeration date
06/25/2019
Last updated
09/21/2020
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