Healthcare Provider Details

I. General information

NPI: 1871427070
Provider Name (Legal Business Name): COURTNEY BRIANNE WEAVER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 BROOKLAWN ST
FARRAGUT TN
37934-2875
US

IV. Provider business mailing address

8818 CRESCENT LAKE WAY APT 7115
KNOXVILLE TN
37923-6554
US

V. Phone/Fax

Practice location:
  • Phone: 865-671-7920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number48944
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: