Individual
JUDY COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5383
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R146510
MS
367500000X
Certified Registered Nurse Anesthetist
RN26539
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122159
—
MS
Enumeration date
11/01/2006
Last updated
07/30/2020
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