Individual
COURTNEY NICOLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2824 ENTERPRISE RD, ORANGE CITY, FL 32763-8428
(386) 774-7411
(386) 774-7412
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11000038
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11000038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110548700
—
FL
Enumeration date
01/30/2019
Last updated
02/09/2026
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