Talisha Ettina Leeann Troutt
FNP | Nurse Practitioner - Primary Care
365 Stout Drive, Suite 160, Johnson City
Tennessee, 37614-3761
423-439-4225
May or may not accept Medicare Nurse Anesthetist in Johnson City, Tennessee.Talisha Ettina Leeann Troutt is a Johnson City, Tennessee based nurse practitioner who is specialized as Primary Care nurse. Active license number of Talisha Ettina Leeann Troutt is 23083 for Family in Tennessee. Her current practice location is 365 Stout Drive, Suite 160, Johnson City. Patients can reach her at 423-439-4225 or can fax her at 423-439-4560. Talisha Ettina Leeann Troutt is FNP with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1639696784.
Talisha Ettina Leeann Troutt is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Talisha Ettina Leeann Troutt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Talisha Ettina Leeann Troutt |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | FNP |
| Practice Address: | 365 Stout Drive, Suite 160, Johnson City, Tennessee, 37614-3761 |
| Phone: | 423-439-4225 |
| Fax: | 423-439-4560 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639696784 |
| NPI Enumeration Date: | 29 Aug, 2017 |
| NPI Last Update On: | 29 Jul, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Talisha Ettina Leeann Troutt are as mentioned below.
| License Number | Specialization | State | Status | |
| 23083 | Family | Tennessee | Primary | |
| 23083 | Primary Care | Tennessee | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Talisha Ettina Leeann Troutt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Q036951 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Talisha Ettina Leeann Troutt Po Box 70403, Johnson City, Tennessee |
| Zip: | 37614-1703 |
| Phone Number: | 423-439-4381 |
| Fax Number: | 423-439-4543 |
Patients can reach Talisha Ettina Leeann Troutt at
365 Stout Drive, Suite 160, Johnson City, Tennessee or can
call to book an appointment on 423-439-4225.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.