Provider Demographics
NPI:1194044248
Name:YANCEY, COURTNEY HART (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:HART
Last Name:YANCEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:COURTNEY
Other - Middle Name:J
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2300 SE 17TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-9107
Mailing Address - Country:US
Mailing Address - Phone:352-867-0444
Mailing Address - Fax:352-867-5522
Practice Address - Street 1:2300 SE 17TH ST
Practice Address - Street 2:SUITE 500
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9107
Practice Address - Country:US
Practice Address - Phone:352-867-0444
Practice Address - Fax:352-867-5522
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9279177363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner