Individual
COURTNEY HELMAN SUPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3166
(512) 346-6611
(512) 406-7315
Mailing address
4515 SETON CENTER PKWY, SUITE 215, AUSTIN, TX 78759-5290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95003474
CA
363LF0000X
Family Nurse Practitioner
Primary
AP129597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358112601
—
TX
05
—
358112602
—
TX
Enumeration date
01/08/2016
Last updated
02/01/2018
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