Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connie T Rutledge, NP

Individual provider Family Nurse Practitioner · NPI 1003260191

Connie T Rutledge, NP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2016, 10 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
10
Licensed in
TN, VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

303 Med Tech Pkwy Ste 100
Johnson City, TN 37604-2392
Phone: (423) 282-5611
Fax: (423) 282-5712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21086 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024173715 (VA)

Record details

NPI number1003260191
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 15, 2016
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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