COURTNEY NELSON AGPCNP-C NPI 1083096465

NPI Information

NPI: 1083096465
Provider Name: COURTNEY NELSON, AGPCNP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
701 E COUNTY LINE RD
SUITE 101
GREENWOOD, IN
ZIP 46143
Phone: (317) 885-2860
Get Directions

Courtney Nelson, AGPCNP-C is a gerontology nurse practitioner in Greenwood, IN. Courtney Nelson, AGPCNP-C NPI is 1083096465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 E COUNTY LINE RD
SUITE 101
GREENWOOD, IN
ZIP 46143-072
Phone: (317) 885-2860
Fax: (317) 885-2869

The enumeration date for this NPI number is 6/23/2015 and was last updated on 6/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	71005840A	INDIANA	No
2	363LG0600X	Nurse Practitioner	Gerontology	71005840A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	065940040	MEDICARE PIN	INDIANA
2	201331220	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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