Individual
COURTNEY WILLEY
Active
Individual
COURTNEY WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-AC/PC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217691
TN
363L00000X
Nurse Practitioner
Primary
0041594
OH
363LP0200X
Pediatric Nurse Practitioner
0041594
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
34737
TN
363LP0222X
Critical Care Pediatric Nurse Practitioner
34737
TN
Other
Enumeration date
09/14/2020
Last updated
06/30/2026
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