Addison, Courtney Brooke
Addison, Courtney Brooke is an individual health care provider with primary practice located at 1484 Lakeside Dr , Jackson KY 41339-6555. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Addison, Courtney Brooke can be contacted via phone (606) 666-9950.Contact Information
Primary practice address
1484 Lakeside Dr
Jackson KY 41339-6555
Phone: (606) 666-9950
Fax: (606) 666-9136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3014877 | Kentucky |
Profile Details
| NPI number | 1104420835 |
|---|---|
| LBN Legal business name | Addison, Courtney Brooke |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2020 |
| Last updated | Nov 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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