Provider Demographics
NPI:1134332612
Name:FORTNEY, DEBBIE SUE (RNFA)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:SUE
Last Name:FORTNEY
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8440 REDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ST JAMES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33956-2913
Mailing Address - Country:US
Mailing Address - Phone:913-481-4441
Mailing Address - Fax:
Practice Address - Street 1:5238 MASON CORBIN COURT
Practice Address - Street 2:SUITE 101
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7738
Practice Address - Country:US
Practice Address - Phone:239-936-9700
Practice Address - Fax:239-936-9707
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9201519163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant