Courtney Jean Marie Mayo
Nurse Practitioner - Family Medicine
2600 Outer Dr N
Sioux City
, Iowa 51104-1585
Courtney Jean Marie Mayo
Nurse Practitioner - Family Medicine
2600 Outer Dr N
Sioux City
, Iowa 51104-1585
(712) 226-2605
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Courtney Jean Marie Mayo
- 814 Pierce St Ste 300
- Sioux City, IA
- Zip : 51101-1058
- Fax : (712) 226-2605
- Phone : (712) 226-2600
Second Address
- Courtney Jean Marie Mayo
- 2600 Outer Dr N
- Sioux City, IA
- Zip : 51104-1585
- Fax : (712) 239-8201
- Phone : (712) 239-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | A114464 | IA |
National Provider Identifier
| NPI | 1003301409 |
|---|---|
| Provider Name | Courtney Jean Marie Mayo |
| First Address | Sioux City, IA 51101-1058 |
| Second Address | Sioux City, IA 51104-1585 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2018 |
| Last Update Date | 27/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.