MEDICARE: COURTNEY PEEBLES FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F0226052	TX

General Provider Information

NPI Number	:	1295680619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY PEEBLES FNP-C

Provider Business Mailing Address
First Line	:	304 ADMINISTRATION DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76209-2098
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 EAST TX-114
Second Line	:	STE 300
City	:	ROANOKE
State	:	TX
Zip	:	76262
Country	:	US
Telephone Number	:	682-831-1591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ COURTNEY PEEBLES FNP-C” Practice Location

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