Gordon, Courtney Rae
Gordon, Courtney Rae is an sole proprietor health care provider with primary practice located at 410 Orchard Park , Ridgeland MS 39157-5135. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gordon, Courtney Rae can be contacted via phone (601) 281-0456.Contact Information
Primary practice address
410 Orchard Park
Ridgeland MS 39157-5135
Phone: (601) 281-0456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 903982 | Mississippi |
Profile Details
| NPI number | 1891312948 |
|---|---|
| LBN Legal business name | Gordon, Courtney Rae |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2020 |
| Last updated | Aug 11th, 2023 - about last year |
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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