Goode, Courtney Danielle

Goode, Courtney Danielle is an sole proprietor health care provider with primary practice located at 1630 Goodman Rd E Ste 3 , Southaven MS 38671-9556. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Goode, Courtney Danielle can be contacted via phone (901) 821-1123.

Contact Information

Primary practice address
1630 Goodman Rd E Ste 3 Southaven MS 38671-9556
Phone: (901) 821-1123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A810522 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17234 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN0000017234 Tennessee

Profile Details

NPI number 1356680573
LBN Legal business name Goode, Courtney Danielle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2013
Last updated Feb 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356680573 NPPES
Mississippi Other 810522 BOARD OF NURSING

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