Individual
COURTNEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2103 FOREST DR STE 5, GRAY, TN 37615-8423
(423) 794-3142
Mailing address
1326 PAPERMILL POINTE WAY, KNOXVILLE, TN 37909-1903
(865) 673-5000
(865) 330-6323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25120
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q046854
—
TN
Enumeration date
02/18/2019
Last updated
04/02/2020
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