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

Courtney S Willis, FNP

Individual provider Family Nurse Practitioner · NPI 1699330282

Courtney S Willis, FNP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2018, 8 years ago. Practices with Tri-Cities Regional Emergency Physicians, PC, a 118-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2203 N Greenwood Dr
Johnson City, TN 37604-7030
Phone: (276) 525-0365
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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 0000025835 (TN)

Record details

NPI number1699330282
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 8, 2019
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tri-Cities Regional Emergency Physicians, Pc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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