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Individual

MS. KATRINA L MCCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, FNP

Contact information

Practice address
2261 NASH ST NW, WILSON, NC 27896-1735
(252) 237-8403
(877) 868-8991
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 277-9380

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5007364
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5007364
NC

Other

Enumeration date
12/11/2014
Last updated
08/06/2024
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