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Individual

COURTNEY SHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 280-9555
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-151623
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
901672
MS

Other

Enumeration date
11/10/2020
Last updated
09/07/2022
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