Individual provider · Type 1 NPI

Courtney Hindsley, PA-C

Surgical Physician Assistant · Kingsport, TN

NPI number 1356914014 Active

Practice location

130 W Ravine Rd Ste 3A
Kingsport, TN 37660-3841

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 111 W Stone Dr Ste 310, Kingsport, TN 37660-6030 · (423) 398-7020

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4748 (TN)
Physician Assistant 363A00000X4748 (TN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1356914014

Courtney Hindsley, PA-C's National Provider Identifier is 1356914014, issued on Jul 21, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kingsport, TN. The record was last updated on Sep 24, 2025.