Individual
COURTNEE L EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1924 PINE ST, SUITE 401C, ABILENE, TX 79601-2451
(325) 670-4080
(325) 670-4004
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4372
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
700419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0810340
BOARD
TX
Enumeration date
09/29/2010
Last updated
09/03/2020
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