Provider Demographics
NPI:1407306624
Name:CARTER, COURTNEY (CRNP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE 401
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-6750
Mailing Address - Country:US
Mailing Address - Phone:334-875-7173
Mailing Address - Fax:334-875-7925
Practice Address - Street 1:1023 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 401
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-6750
Practice Address - Country:US
Practice Address - Phone:334-875-7173
Practice Address - Fax:334-875-7925
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-100214163W00000X, 363LG0600X, 363LP2300X, 363LX0001X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology