Healthcare Provider Details

I. General information

NPI: 1801048558
Provider Name (Legal Business Name): COURTNEY N FLOYD PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2008
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 N 14TH ST STE 4
PARAGOULD AR
72450-3550
US

IV. Provider business mailing address

200 CORPORATE BLVD SUITE 201
LAFAYETTE LA
70508-3870
US

V. Phone/Fax

Practice location:
  • Phone: 870-365-3881
  • Fax: 870-569-3026
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-356
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: