Healthcare Provider Details
I. General information
NPI: 1275925000
Provider Name (Legal Business Name): KOURTNEY MORGAN HOWARD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/03/2015
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
808 JOLIET AVE UNIT 220
LUBBOCK TX
79415-1158
US
IV. Provider business mailing address
5219 CITY BANK PKWY STE 35
LUBBOCK TX
79407-3545
US
V. Phone/Fax
- Phone: 806-761-0566
- Fax: 806-744-7252
- Phone: 806-776-1033
- Fax: 806-785-0872
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP127527 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: