Individual
COURTNEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1072
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1072
(317) 885-2860
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71005840A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71005840A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201331220
—
IN
Enumeration date
06/23/2015
Last updated
06/20/2016
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