Provider Demographics
NPI:1861901894
Name:RULON, COURTNEY LAVEY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LAVEY
Last Name:RULON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:COURTNEY
Other - Middle Name:FAITH
Other - Last Name:LAVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 643
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-0643
Mailing Address - Country:US
Mailing Address - Phone:722-443-5089
Mailing Address - Fax:214-807-0337
Practice Address - Street 1:101 S COLORADO ST
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-6439
Practice Address - Country:US
Practice Address - Phone:972-244-3508
Practice Address - Fax:214-807-0337
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP135168OtherTEXAS BOARD OF NURSING