Provider Demographics
NPI:1437819711
Name:WARD, COURTNEY LEEANN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LEEANN
Last Name:WARD
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 COUNTY ROAD 204
Mailing Address - Street 2:
Mailing Address - City:CENTERBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43011-9619
Mailing Address - Country:US
Mailing Address - Phone:513-262-5352
Mailing Address - Fax:
Practice Address - Street 1:625 AFRICA RD STE 120
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-0002
Practice Address - Country:US
Practice Address - Phone:614-820-5491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner