Female

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)

Code

363L00000X

Primary Taxonomy

Yes

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

Provider Address

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