Healthcare Provider Details

I. General information

NPI: 1285038992
Provider Name (Legal Business Name): COURTNEY DOYLE GOUDEAU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2014
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3441 DICKERSON PIKE
NASHVILLE TN
37207-2539
US

IV. Provider business mailing address

3441 DICKERSON PIKE
NASHVILLE TN
37207-2539
US

V. Phone/Fax

Practice location:
  • Phone: 615-769-4400
  • Fax:
Mailing address:
  • Phone: 615-769-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number183369
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number19116
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number19116
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: