Healthcare Provider Details

I. General information

NPI: 1538589536
Provider Name (Legal Business Name): COURTNEY DUBOIS SHIHABUDDIN APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY ANN DUBOIS

II. Dates (important events)

Enumeration Date: 04/17/2014
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7775 WALTON PKWY STE 100
NEW ALBANY OH
43054-8202
US

IV. Provider business mailing address

7775 WALTON PKWY STE 100
NEW ALBANY OH
43054-8202
US

V. Phone/Fax

Practice location:
  • Phone: 614-392-7670
  • Fax: 888-314-2988
Mailing address:
  • Phone: 614-392-7670
  • Fax: 888-314-2988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0109992
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.022284
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: