COURTNEY CLUBB MSN-FNP NPI 1073074258

NPI Information

NPI: 1073074258
Provider Name: COURTNEY CLUBB, MSN-FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
410 N HANCOCK AVE # 4
ODESSA, TX
ZIP 79761
Phone: (432) 279-0905
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Courtney Clubb, MSN-FNP is a family nurse practitioner in Odessa, TX. Courtney Clubb, MSN-FNP NPI is 1073074258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

410 N HANCOCK AVE # 4
ODESSA, TX
ZIP 79761-140
Phone: (432) 279-0905
Fax: (432) 279-0904

The enumeration date for this NPI number is 3/28/2019 and was last updated on 3/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP141065	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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