Riddle, Courtney Nicole

Riddle, Courtney Nicole is an individual health care provider with primary practice located at 104 Hospital Drive , Magnolia AR 71753. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Riddle, Courtney Nicole can be contacted via phone (870) 235-3555.

Contact Information

Primary practice address
104 Hospital Drive Magnolia AR 71753
Phone: (870) 235-3555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R086552 Arkansas
Nursing Service Providers / Registered Nurse 163W00000X RN131227 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A004849 Arkansas

Profile Details

NPI number 1114470549
LBN Legal business name Riddle, Courtney Nicole
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2016
Last updated Aug 26th, 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 1114470549 NPPES
Arkansas MEDICAID 215626758

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