Organization
COURTNEY BICKERSTAFF APN,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY CAMILLE BICKERSTAFF APN (APN)
(501) 909-1153
Entity
Organization
Contact information
Practice address
1309 ASHLEA PLACE DR, BRYANT, AR 72022-9159
(501) 909-1153
Mailing address
1309 ASHLEA PLACE DR, BRYANT, AR 72022-9159
(501) 909-1153
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
A03082
AR
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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