COURTNEY CLUBB


Address: 410 N Hancock Ave # 4, Odessa, TX 79761-5140
Phone: 4322790905

COURTNEY CLUBB (NPI# 1073074258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073074258
Entity Type Individual
Full Name COURTNEY CLUBB
Credential MSN-FNP
Practice Address 410 N Hancock Ave # 4
Odessa
TX 79761-5140
Mailing Address 3016 Woodridge Ln
Odessa
TX 79762-5232
Practice Telephone 4322790905
Practice Fax Number 4322790904
Mailing Telephone 8065437339
Enumeration Date 2019-03-28
Last Update Date 2019-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP141065 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 410 N HANCOCK AVE # 4
City ODESSA
State TX
Zip Code 79761-5140

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1023540507 Florenda De Guzman Nurse Practitioner 405 N Tom Green, Odessa, TX 79761 2017-04-03
1205378239 Scotty R Ortega Md Clinical Nurse Specialist 2487 E 11th Street, Odessa, TX 79761 2016-11-08
1487094355 Marivel Perez Nurse Practitioner 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 2013-06-25
1245579804 Accurate Health Care LLC Home Health 302 Industrial Ave, Odessa, TX 79761 2013-02-01
1437421666 Mary Magdalene Garcia Speech-Language Pathologist 620 N. Alleghaney, Odessa, TX 79761 2012-02-03
1841576378 Ashley Burdex Family Medicine 6030 W University, Odessa, TX 79761 2011-10-28
1730465428 Therese A Archer Massage Therapist 712 N. Texas Ave, Odessa, TX 79761 2011-10-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639776115 Taylor Marie Russell Nurse Practitioner 15217 Wind Whisper Dr, Odessa, FL 33556-1832 2020-10-07
1992310551 Taylor Barnes Nurse Practitioner 5919 Fitzgerald Rd, Odessa, FL 33556-2355 2020-09-10
1558995753 Mission Health, Pllc Nurse Practitioner 3112 San Saba Dr, Odessa, TX 79765-5058 2020-02-26
1710549084 Alyce Greenwood Nurse Practitioner 16501 Harper Pond Ln Apt 301, Odessa, FL 33556-6101 2019-07-08
1073170411 Trudian Alicia Lester Nurse Practitioner 8050 E Highway 191 Ste 104, Odessa, TX 79765-8614 2019-05-21
1043773153 Janette Garcia Nurse Practitioner 420 E 6th St Ste 201b, Odessa, TX 79761-4572 2019-04-08
1891256434 Joann Mercedes Georges Guillory Nurse Practitioner 56 Berkshire Cir, Odessa, TX 79765-2218 2019-03-27
1689138521 Jacqueline Alcantara Nurse Practitioner 15103 Virginia Sta Apt 214, Odessa, FL 33556-3579 2019-01-24
1841767597 Michael Ebrada Nurse Practitioner 16400 Rollingbrook Dr, Odessa, FL 33556-4907 2018-10-31
1043729601 Scott Stout Nurse Practitioner 3952 E 42nd St Ste Z, Odessa, TX 79762-5942 2017-09-27
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Competitor

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City ODESSA
Zip Code 79761

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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