Healthcare Provider Details

I. General information

NPI: 1841126885
Provider Name (Legal Business Name): COURTNEY PARKER MCDANIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY NICOLE PARKER

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

212 NORTHVIEW DR
FAYETTEVILLE NC
28303-5267
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-1000
  • Fax:
Mailing address:
  • Phone: 919-291-7758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number340970
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: