# COURTNEY BICKERSTAFF APN,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295071322
- **Authorized official:** COURTNEY CAMILLE BICKERSTAFF APN (APN)
- **Authorized official phone:** (501) 909-1153

## Contact information

- **Practice address:** 1309 ASHLEA PLACE DR, BRYANT, AR 72022-9159
- **Practice address phone:** (501) 909-1153
- **Mailing address:** 1309 ASHLEA PLACE DR, BRYANT, AR 72022-9159
- **Mailing address phone:** (501) 909-1153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | A03082 | AR | Yes |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 12/18/2012