Individual
COURTNEY LEE HERSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7901 ANGLING RD, PORTAGE, MI 49024-0714
(269) 324-8405
(269) 324-8441
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(269) 552-2823
(269) 552-2964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704230431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386521623
—
MI
Enumeration date
08/19/2025
Last updated
11/12/2025
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