Individual
COURTNEY MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4331 S FREMONT AVE, SPRINGFIELD, MO 65804-7328
(417) 820-5000
Mailing address
4331 S FREMONT AVE, SPRINGFIELD, MO 65804-7328
(417) 820-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022020148
MO
Other
Enumeration date
05/11/2022
Last updated
06/10/2022
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