Individual
COURTNEY NICOLE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1213 N MAIN ST, BEAVER DAM, KY 42320-8955
(270) 274-4771
(270) 274-4884
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
(270) 691-8026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011358
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100521080
—
KY
Enumeration date
06/21/2017
Last updated
07/16/2024
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