Individual
COURTNEY AUTUMN KAILUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN FNP-C
Contact information
Practice address
4331 S MANHATTAN AVE, TAMPA, FL 33611-1303
(813) 832-4569
Mailing address
5508 LIBERTY PLAIN CIR, TAMPA, FL 33611-5623
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11013550
FL
Other
Enumeration date
08/13/2021
Last updated
04/23/2025
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