Individual provider · NPI-1

Courtney Bordeaux, FNP

Nurse Practitioner, Family · Wilson, NC

NPI number1982303152
StatusActive
Last updated in NPPESSep 14, 2024

Details

NPI
1982303152
Entity type
Individual (NPI-1)
Name
Courtney Bordeaux
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 27, 2023
Certification date
Sep 14, 2024
Last updated
Sep 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF02230991NCYes

Practice location

4419 Cam Strader Dr
Wilson, NC 27896-9756

Phone 252-299-3529

Mailing address

4419 Cam Strader Dr
Wilson, NC 27896-9756

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