MEDICARE: COURTNEY MARIE CROOK MSN, APRN, 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	36904	TN

General Provider Information

NPI Number	:	1952134942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY MARIE CROOK MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 26194
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-2012
Country	:	US
Telephone Number	:	865-584-4747
Fax Number	:	833-908-0998

Provider Business Practice Location Address
First Line	:	200 FORT SANDERS WEST BLVD STE 304
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3360
Country	:	US
Telephone Number	:	865-531-8848
Fax Number	:	833-908-2105

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

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	10/16/2024

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