Provider Demographics
NPI:1386988665
Name:MURPHY, COURTNEY (RNC, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RNC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 N STATE OF FRANKLIN RD
Mailing Address - Street 2:SUITE 31E
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604
Mailing Address - Country:US
Mailing Address - Phone:423-431-4946
Mailing Address - Fax:423-431-4947
Practice Address - Street 1:408 N STATE OF FRANKLIN RD STE 31E
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6088
Practice Address - Country:US
Practice Address - Phone:423-431-4946
Practice Address - Fax:423-431-4947
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170501363LF0000X
TN17041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10350I3993OtherMEDICARE PTAN