Individual
COURTNEY ANN WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 HARDEN BLVD, LAKELAND, FL 33803-1826
(813) 701-5804
(813) 291-7615
Mailing address
PO BOX 25201, TAMPA, FL 33622-5201
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11045550
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11045550
FL
Other
Enumeration date
02/18/2026
Last updated
07/07/2026
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