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Contact Information

COURTNEY FORTNER, FNP
1024 M.L.K. JR. DR.
MARKS, MS38646
 Phone: 662-326-3502
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for COURTNEY FORTNER · (Female)

NPI Number 1841951928
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/31/2021
Last updated 05/26/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 904455
  • MS License # 905127
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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