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NPI Code Detail

MEDICARE: COURTNEY STEWART APRN, CNP

MEDICARE: COURTNEY STEWART APRN, CNP
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 Practitioner4017368KY
2163WC0200XCritical Care Medicine Registered Nurse1156828KY

General Provider Information

NPI Number : 1821797408
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY STEWART APRN, CNP
Provider Business Mailing Address
First Line : 201 PARK ST
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42101-1742
Country : US
Telephone Number : 270-781-5111
Fax Number :
Provider Business Practice Location Address
First Line : 405 S L ROGERS WELLS BLVD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1725
Country : US
Telephone Number : 270-479-0256
Fax Number : 270-361-5298
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2023
Last Update Date : 05/21/2026

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