Courtnie Lynn Duff, LPN
Individual provider Active NPI Licensed Practical Nurse · Dodson, LA
NPI 1447848411 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1447848411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 290032 (LA)
- Practice address
- 102 N Boundary St
Dodson, LA 71422-3600 - Phone
- (318) 321-9751
- NPI assigned
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290032 | LA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 290032 | LA | Yes |
Addresses
Primary practice location
102 N Boundary St
Dodson, LA 71422-3600
Mailing address
102 N Boundary St
Dodson, LA 71422-3600
Phone (318) 321-9751
Other practice location 1
301 W Boundary Ave
Winnfield, LA 71483-3427
Phone (318) 648-3000
Other names
- Mrs. Courtnie Lynn Gresham
Other providers in Dodson, LA
- Community Bridges South, Inc.
- Mike Davis
- Keith Gerard Fayard Jr.
- Luis Octavio Mendoza III
- Segundo G Roncal
- Josh Patrick Roton
- Stacey Charlene Smith
All providers in Dodson, LA · Licensed Practical Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.