Provider Demographics
NPI:1740559723
Name:FLETCHER, COURTNEY PRICE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:PRICE
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 SUNSET PARK DR STE 12
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-5219
Mailing Address - Country:US
Mailing Address - Phone:757-216-1991
Mailing Address - Fax:
Practice Address - Street 1:280 SUNSET PARK DR STE 12
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5219
Practice Address - Country:US
Practice Address - Phone:757-216-1991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005466363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily