Provider Demographics
NPI:1538589536
Name:SHIHABUDDIN, COURTNEY DUBOIS (APRN, CNP)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:DUBOIS
Last Name:SHIHABUDDIN
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ANN
Other - Last Name:DUBOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7385 STATE ROUTE 3 # 3042
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8654
Mailing Address - Country:US
Mailing Address - Phone:614-392-7670
Mailing Address - Fax:877-673-2068
Practice Address - Street 1:7385 STATE ROUTE 3 # 3042
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8654
Practice Address - Country:US
Practice Address - Phone:614-392-7670
Practice Address - Fax:877-673-2068
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0109992363LA2200X
OHAPRN.CNP.022284363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health