Individual
COURTNEY NICOLE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1701 S SHACKLEFORD RD, LITTLE ROCK, AR 72211-4335
(501) 219-7000
Mailing address
17021 BROADLEAF, TEXARKANA, TX 75503-9663
(870) 299-2052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R086552
AR
363L00000X
Nurse Practitioner
AP138503
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
A004849
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215626758
—
AR
Enumeration date
08/02/2016
Last updated
11/01/2024
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