Individual provider · Type 1 NPI

Courtney White Roberson, NP

Nurse Practitioner · Dyersburg, TN

NPI number 1366073041 Active

Practice location

1575 Parr Ave, Suite B
Dyersburg, TN 38024

Fax (731) 286-1510

Mailing address

160 W. University Pkwy, Suite C
Jackson, TN 38305

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X27094 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366073041

Courtney White Roberson, NP's National Provider Identifier is 1366073041, issued on Jan 30, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dyersburg, TN. The record was last updated on Nov 4, 2021.