Kourtney Green FNP
Nurse Practitioner in Fort Wayne, IN(View on Map)
Full Name
Kourtney Green FNP
NPI Number
1972910602
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/15/2014
Specialties
(Taxonomies)Licenses
State
Indiana
Missouri
License Number
71005675A
2013011851
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 392552
3512 STELLHORN RD
City
Pittsburgh
Fort Wayne
State
PA
IN
Postal Code
15251-9500
46815-4631
Country
US
US
Telephone Number
(260) 483-9081
(260) 483-9081
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/16/2020