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NPI Code Detail

MEDICARE: COURTNEY HESTER O'ROURKE

MEDICARE: COURTNEY HESTER O'ROURKE
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 Practitioner5015864NC
2363L00000XNurse Practitioner5015864NC

General Provider Information

NPI Number : 1528730264
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY HESTER O'ROURKE
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-384-6478
Fax Number : 704-384-8220
Provider Business Practice Location Address
First Line : 200 HAWTHORNE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2515
Country : US
Telephone Number : 704-384-6478
Fax Number : 704-384-8220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2021
Last Update Date : 05/12/2026

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Directions to “ COURTNEY HESTER O'ROURKE ” Practice Location

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