Provider Demographics
NPI:1538949680
Name:CURTNER, COURTNEY LANETTE (RN)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LANETTE
Last Name:CURTNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:JACKSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76458-2021
Mailing Address - Country:US
Mailing Address - Phone:940-507-0577
Mailing Address - Fax:
Practice Address - Street 1:215 CHISHOLM TRL
Practice Address - Street 2:
Practice Address - City:JACKSBORO
Practice Address - State:TX
Practice Address - Zip Code:76458-1403
Practice Address - Country:US
Practice Address - Phone:940-567-6633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX944264163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty