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NPI Code Detail

MEDICARE: COURTNEY JENNIFER NORDELL PA-C

MEDICARE: COURTNEY JENNIFER NORDELL PA-C
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
1363A00000XPhysician AssistantPA67124CA

General Provider Information

NPI Number : 1265325716
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY JENNIFER NORDELL PA-C
Provider Business Mailing Address
First Line : 400 W MINERAL KING AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6237
Country : US
Telephone Number : 559-624-2000
Fax Number :
Provider Business Practice Location Address
First Line : 400 W MINERAL KING AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6237
Country : US
Telephone Number : 559-624-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 04/30/2026

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