Individual
COURTNEY PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431-1705
(937) 702-4024
(937) 702-4035
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 757-2927
(859) 341-0203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0038556
OH
363L00000X
Nurse Practitioner
3015281
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0038556
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
0038556
OH
Other
Enumeration date
11/09/2020
Last updated
10/01/2025
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