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NPI Code Detail

MEDICARE: MS. COURTNEY LOUISE FERAL APRN

MEDICARE: MS. COURTNEY LOUISE FERAL APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3007409KY
2363L00000XNurse Practitioner95029629CA
3363L00000XNurse Practitioner201810279NP-PPOR

General Provider Information

NPI Number : 1497014658
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. COURTNEY LOUISE FERAL APRN
Provider Business Mailing Address
First Line : 1728 GRITTER RIDGE RD
Second Line :
City : STANTON
State : KY
Zip : 40380-7907
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2240 W MONTE VISTA AVE
Second Line :
City : TURLOCK
State : CA
Zip : 95382-9667
Country : US
Telephone Number : 209-667-1270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2012
Last Update Date : 01/28/2026

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