Healthcare Provider Details

I. General information

NPI: 1558757781
Provider Name (Legal Business Name): COURTNEY MUMPHREY COX MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY LYNN MUMPHREY

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 CONSTANTIN BLVD
BATON ROUGE LA
70809-3489
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 225-709-8653
  • Fax: 225-709-8634
Mailing address:
  • Phone: 225-709-8653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE-12942
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberE12942
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number308288
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: