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

Courtney Elizabeth Gannon, CNP

Individual provider Family Nurse Practitioner · NPI 1245922665

Courtney Elizabeth Gannon, CNP is a Nurse Practitioner in East Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Internal Medical Associates-Ebnhc, a 242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2023
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

10 Gove St
East Boston, MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4685
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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 RN2346663 (MA)

Record details

NPI number1245922665
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Internal Medical Associates-Ebnhc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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