Individual provider · Type 1 NPI

Courtney Paige Pendergraft, FNP

Family Nurse Practitioner · Kingsport, TN

NPI number 1790064384 Active

Practice location

130 W Ravine Rd
Kingsport, TN 37660-3837

Fax (423) 224-5120

Mailing address

PO Box 11724
Knoxville, TN 37939-1724

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024169574 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1790064384

Courtney Paige Pendergraft, FNP's National Provider Identifier is 1790064384, issued on Aug 12, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Aug 12, 2011.