Individual
COURTNEY LEE WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP
Contact information
Practice address
1500 6TH AVE S, BIRMINGHAM, AL 35233-1602
(205) 934-2170
Mailing address
1500 6TH AVE S, BIRMINGHAM, AL 35233-1602
(205) 510-3408
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-109552
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03876091
—
MS
01
—
051121517
BCBS
AL
01
—
051121518
BCBS
AL
01
—
051121519
BCBS
AL
01
—
051121520
BCBS
AL
01
—
051121523
BCBS
AL
01
—
051121524
BCBS
AL
01
—
051121526
BCBS
AL
01
—
051121527
BCBS
AL
01
—
051121528
BCBS
AL
01
—
051121529
BCBS
AL
05
—
133089
—
AL
05
—
133099
—
AL
05
—
133100
—
AL
05
—
133103
—
AL
05
—
133105
—
AL
05
—
133106
—
AL
05
—
133107
—
AL
05
—
133114
—
AL
05
—
133115
—
AL
05
—
133120
—
AL
01
—
Z50030
VIVA
AL
Enumeration date
10/20/2011
Last updated
06/29/2023
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