Provider Demographics
NPI:1831529809
Name:DANCY, COURTNEY BASS (NP-C)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:BASS
Last Name:DANCY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:BASS
Other - Last Name:CLARKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:984-215-4111
Mailing Address - Fax:
Practice Address - Street 1:7100 SIX FORKS RD STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6260
Practice Address - Country:US
Practice Address - Phone:919-790-7070
Practice Address - Fax:919-790-7072
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006603363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5006603OtherNORTH CAROLINA BOARD OF NURSING LICENSE
NC5006603OtherNORTH CAROLINA BOARD OF NURSING LICENSE
NC5006603OtherNORTH CAROLINA BOARD OF NURSING LICENSE