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

Talisha Ettina Leeann Troutt, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1639696784

Talisha Ettina Leeann Troutt, FNP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2017, 9 years ago. Practices with East Tennessee State University, a 20-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

365 Stout Dr Ste 160
Johnson City, TN 37614-3761
Phone: (423) 439-4225
Fax: (423) 439-4560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 132 Old Gray Station Rd, Gray, TN 37615 — (423) 467-8001
  • 2151 Century Ln, Johnson City, TN 37604-4469 — (423) 926-2500
  • 2020 Brookside Dr Ste 20, Kingsport, TN 37660-4658 — (423) 247-7030
  • 1901 S Shady St, Mountain City, TN 37683-2021 — (423) 727-1150

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23083 (TN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 23083 (TN)

Record details

NPI number1639696784
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 29, 2017
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice East Tennessee State University — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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