Individual
COURTNEY KNIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6115 CAMP BOWIE BLVD STE 290, FORT WORTH, TX 76116-5500
(817) 831-1105
Mailing address
6115 CAMP BOWIE BLVD STE 290, FORT WORTH, TX 76116-5500
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
27106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27106
LVN
TX
Enumeration date
02/21/2019
Last updated
02/21/2019
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