Provider Demographics
NPI:1821731498
Name:HUNTER, COURTLAND (APRN)
Entity type:Individual
Prefix:
First Name:COURTLAND
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:870-224-4411
Mailing Address - Fax:870-224-0925
Practice Address - Street 1:940 OLD WARREN RD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-9717
Practice Address - Country:US
Practice Address - Phone:870-224-4411
Practice Address - Fax:870-224-0925
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR219492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily