Provider Demographics
NPI:1760870265
Name:TAFESSE, COURTNEY (MD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:TAFESSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 N THOMPSON LN STE 1A
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4340
Mailing Address - Country:US
Mailing Address - Phone:615-494-4800
Mailing Address - Fax:615-494-4801
Practice Address - Street 1:820 N THOMPSON LN STE 1A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4340
Practice Address - Country:US
Practice Address - Phone:615-494-4800
Practice Address - Fax:615-494-4801
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN59127207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology