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NPI Code Detail

MEDICARE: COURTNEY NICOLE GLEESON APRN

MEDICARE: COURTNEY NICOLE GLEESON APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1218405TX

General Provider Information

NPI Number : 1083563563
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY NICOLE GLEESON APRN
Provider Business Mailing Address
First Line : 114 SPROLES DR STE 101
Second Line :
City : BENBROOK
State : TX
Zip : 76126-3249
Country : US
Telephone Number : 817-249-4100
Fax Number : 817-249-4185
Provider Business Practice Location Address
First Line : 114 SPROLES DR STE 101
Second Line :
City : BENBROOK
State : TX
Zip : 76126-3249
Country : US
Telephone Number : 817-249-4100
Fax Number : 817-249-4185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “ COURTNEY NICOLE GLEESON APRN” Practice Location

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