Individual
COURTNEY S DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1061 HIGHWAY 35 S, FOREST, MS 39074-4000
(601) 541-4313
Mailing address
1061 HIGHWAY 35 S, FOREST, MS 39074-4000
(601) 541-4313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
893316
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1P7544
—
MS
Enumeration date
09/01/2020
Last updated
06/28/2021
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