Individual
COURTNEY BROOKE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 769-0329
Mailing address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 769-0329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11027864
FL
Other
Enumeration date
09/26/2023
Last updated
09/06/2024
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