Healthcare Provider Details

I. General information

NPI: 1063375434
Provider Name (Legal Business Name): COURTNEY MCNATT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W MARKET ST
ATHENS AL
35611-2422
US

IV. Provider business mailing address

18125 ARROWHEAD DRIVE
ATHENS AL
35611
US

V. Phone/Fax

Practice location:
  • Phone: 256-233-9151
  • Fax:
Mailing address:
  • Phone: 256-693-9666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-171533
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: