Individual
COURTNEY KAY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RN
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200093
ND
363LF0000X
Family Nurse Practitioner
863092
MN
Other
Enumeration date
06/28/2024
Last updated
04/02/2025
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