Individual
COURTNEY JANE WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD STE 305, LOUISVILLE, KY 40241-2849
(502) 394-6460
(502) 394-6465
Mailing address
218 MARSHALL DR, LOUISVILLE, KY 40207-3428
(502) 905-8012
(502) 394-6460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5009089
NC
363LF0000X
Family Nurse Practitioner
Primary
3010973
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300017821
—
IN
05
—
7100533720
—
KY
Enumeration date
11/26/2016
Last updated
05/01/2022
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