Healthcare Provider Details

I. General information

NPI: 1306770896
Provider Name (Legal Business Name): COURTNEY E HUNT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

363 N WEST ST
OLNEY IL
62450-1160
US

IV. Provider business mailing address

4362 E MICHAEL LN
OLNEY IL
62450-3766
US

V. Phone/Fax

Practice location:
  • Phone: 618-392-9400
  • Fax:
Mailing address:
  • Phone: 812-239-3355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209035727
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: