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Courtney Marie Lacoste, FNP-C
Family Nurse Practitioner in Kiln, Mississippi
NPI 1609649391

Courtney Marie Lacoste is a Family Nurse Practitioner based in Kiln, MS and is specialized in Family. Courtney Marie Lacoste practices in Kiln, MS and has the professional credentials of FNP-C. The NPI Number for Courtney Marie Lacoste is 1609649391 and holds a License No. 906357 (Mississippi).

The current practice location address for Courtney Marie Lacoste is 16195 Sam Favre Rd, Kiln, MS and can be reached out via phone at 228-216-1981.

Location: 16195 Sam Favre Rd, Kiln, MS, 39556-0481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609649391
Provider Name
Courtney Marie Lacoste
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
16195 Sam Favre Rd, Kiln, MS, 39556-0481
Phone Number
228-216-1981
Fax Number
Provider Enumeration Date
11/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16195 Sam Favre Rd
City
Kiln
State
Mississippi
Zip
39556-8191
Phone Number
228-216-1981
Fax Number
person
Provider Business Mailing Address Details
Address
16195 Sam Favre Rd
City
Kiln
State
Mississippi
Zip
39556-8191
Phone Number
228-216-1981
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
906357 (Mississippi)
Definition
Definition to come...
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