Courtney Elizabeth Lemmon, FNP-BC
Nurse Practitioner, Family in Saint Louis, MO. Individual provider (NPI-1).
NPI number1942829676
StatusActive
Last updated in NPPESDec 28, 2020
Details
- NPI
- 1942829676
- Entity type
- Individual (NPI-1)
- Name
- Courtney Elizabeth Lemmon
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2020
- Certification date
- Dec 28, 2020
- Last updated
- Dec 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2020025196 | MO | Yes |
| 163W00000X | Registered Nurse | 2014005173 | MO |
Practice location
1115 Olivette Executive PkwySaint Louis, MO 63132-3259
Phone 314-282-3990 · Fax 314-282-9524
Mailing address
7188 Wellington CtSaint Louis, MO 63143-3502
Phone 314-650-2433
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