person
Courtney Tieree Samuels, APRN
Family Nurse Practitioner in Clarksville, Indiana
NPI 1912612763

Courtney Tieree Samuels is a Family Nurse Practitioner based in Chicago, IN and is specialized in Family. Courtney Tieree Samuels practices in Clarksville, IN and has the professional credentials of APRN. The NPI Number for Courtney Tieree Samuels is 1912612763 and holds a License No. 3018888 (Indiana).

The current practice location address for Courtney Tieree Samuels is 2205 Greentree N, Clarksville, IN and can be reached out via phone at 812-218-6560 and via fax at 812-288-2605.

Location: 2205 Greentree N, Clarksville, IN, 60677-6351
person
Provider Profile Details
NPI Number
1912612763
Provider Name
Courtney Tieree Samuels
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2205 Greentree N, Clarksville, IN, 60677-6351
Phone Number
812-218-6560
Fax Number
812-288-2605
Provider Enumeration Date
01/17/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71013451A 01 IN STATE LICENSE
3018888 01 KY STATE LICENSE
300072891 05 IN
7100954570 05 KY
institution
Provider Business Practice Location Address Details
Address
2205 Greentree N
City
State
Zip
47129-8957
Phone Number
812-218-6560
Fax Number
812-288-2605
person
Provider Business Mailing Address Details
Address
2205 Greentree N
City
State
Zip
47129-8957
Phone Number
812-218-6560
Fax Number
812-288-2605
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3018888 (Kentucky)
Definition
Definition to come...
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