Bickerstaff, Courtney C

Bickerstaff, Courtney C is an individual health care provider with primary practice located at 1002 Schneider Dr Suite 104, Malvern AR 72104-4816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bickerstaff, Courtney C can be contacted via phone (501) 337-9066.

Contact Information

Primary practice address
1002 Schneider Dr Suite 104 Malvern AR 72104-4816
Phone: (501) 337-9066
Fax: (501) 332-5265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03082 APN Arkansas

Profile Details

NPI number 1811168537
LBN Legal business name Bickerstaff, Courtney C
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Dec 18th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811168537 NPPES
Arkansas Other A03085 APN APN LICENSE

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