Individual
COURTNEY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 213-5888
(228) 575-3433
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 422-5332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
910494
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
907011
MS
Other
Enumeration date
10/27/2022
Last updated
03/06/2025
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