Individual provider · Type 1 NPI

Courtney Roth, NP

Family Nurse Practitioner · Powell, TN

NPI number 1033622725 Active

Practice location

7650 Dannaher Dr Ste 100
Powell, TN 37849-4066

Fax (865) 512-6748

Mailing address

6016 Brookvale Ln Ste 200
Knoxville, TN 37919-4092

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician 207VX0201X23255 (TN)
Family Nurse Practitioner Primary 363LF0000X23255 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1033622725

Courtney Roth, NP's National Provider Identifier is 1033622725, issued on Nov 16, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Powell, TN. The record was last updated on Jun 8, 2026.