Provider Demographics
NPI:1093463911
Name:KERZNER, COURTNEY FARRIOR (APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:FARRIOR
Last Name:KERZNER
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:FARRIOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CPNP-PC
Mailing Address - Street 1:20424 HAYSTACK CV
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-6441
Mailing Address - Country:US
Mailing Address - Phone:512-610-7030
Mailing Address - Fax:
Practice Address - Street 1:20424 HAYSTACK CV
Practice Address - Street 2:
Practice Address - City:SPICEWOOD
Practice Address - State:TX
Practice Address - Zip Code:78669-6441
Practice Address - Country:US
Practice Address - Phone:512-610-7030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-10
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11025527363LP0200X
TX1071472363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics