Provider Demographics
NPI:1154892974
Name:HATFIELD, COURTNEY LEIGHANN (MSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LEIGHANN
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:MISS
Other - First Name:COURTNEY
Other - Middle Name:LEIGHANN
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:610 BRADFORD TRCE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-3998
Mailing Address - Country:US
Mailing Address - Phone:931-261-8361
Mailing Address - Fax:
Practice Address - Street 1:406 N WHITNEY AVE STE 2
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4243
Practice Address - Country:US
Practice Address - Phone:931-372-1799
Practice Address - Fax:931-372-1866
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily