Kourtney Green, FNP
NPI #1972910602 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1972910602
- Entity Type
- Individual
- Name
- Kourtney Green, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Jul 15, 2014
- Last Updated
- Jul 16, 2020
Practice Location
- Address
- 3512 STELLHORN RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46815-4631
- Phone
- (260) 483-9081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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