Healthcare Provider Details

I. General information

NPI: 1093463911
Provider Name (Legal Business Name): COURTNEY FARRIOR KERZNER APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: COURTNEY FARRIOR APRN, CPNP-PC

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20424 HAYSTACK CV
SPICEWOOD TX
78669-6441
US

IV. Provider business mailing address

20424 HAYSTACK CV
SPICEWOOD TX
78669-6441
US

V. Phone/Fax

Practice location:
  • Phone: 512-610-7030
  • Fax:
Mailing address:
  • Phone: 512-610-7030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN11025527
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1071472
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: