Individual
MRS. COURTNEY RENEE DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1500 MILITARY ST S STE 11, HAMILTON, AL 35570-5050
(662) 767-4200
(662) 767-4204
Mailing address
1211 S GLOSTER ST STE A, TUPELO, MS 38801-6548
(662) 767-4200
(662) 767-4204
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1-172358
AL
363LF0000X
Family Nurse Practitioner
Primary
1-172358
AL
363LF0000X
Family Nurse Practitioner
902512
MS
Other
Enumeration date
02/21/2018
Last updated
12/03/2020
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