Provider Demographics
NPI:1609493493
Name:NELSON, COURTNEY P (MSN-ED, RN)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:P
Last Name:NELSON
Suffix:
Gender:F
Credentials:MSN-ED, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 NETHERLAND LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31705-8021
Mailing Address - Country:US
Mailing Address - Phone:229-364-4550
Mailing Address - Fax:
Practice Address - Street 1:1003 NETHERLAND LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705-8021
Practice Address - Country:US
Practice Address - Phone:229-364-4550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN171256163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse