Individual
MRS. COURTNEY MCDANIEL NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
119 ENNIS ST, SARALAND, AL 36571-2706
(251) 544-2000
(251) 544-2004
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-125175
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157308
—
AL
01
—
511-48068
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/25/2014
Last updated
04/24/2015
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