Healthcare Provider Details

I. General information

NPI: 1386988665
Provider Name (Legal Business Name): COURTNEY MURPHY RNC, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2012
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 N STATE OF FRANKLIN RD STE 31E
JOHNSON CITY TN
37604-6088
US

IV. Provider business mailing address

408 N STATE OF FRANKLIN RD SUITE 31E
JOHNSON CITY TN
37604
US

V. Phone/Fax

Practice location:
  • Phone: 423-431-4946
  • Fax: 423-431-4947
Mailing address:
  • Phone: 423-431-4946
  • Fax: 423-431-4947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024170501
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17041
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: