| Kourtney Ortega, MSN, FNP | |
|
500 S Cannon Blvd, Kannapolis, NC 28083-5261 | |
| (980) 340-9505 | |
| (605) 570-3060 |
| Full Name | Kourtney Ortega |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 500 S Cannon Blvd, Kannapolis, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073221248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F09240205 (North Carolina) | Secondary |
| 163W00000X | Registered Nurse | 275420 (North Carolina) | Primary |
| Entity Name | Mainstreet And Kidsstreet Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144803040 PECOS PAC ID: 6901290238 Enrollment ID: O20220302000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Kourtney Ortega, MSN, FNP 500 S Cannon Blvd, Kannapolis, NC 28083-5261 Ph: (980) 340-9505 | Kourtney Ortega, MSN, FNP 500 S Cannon Blvd, Kannapolis, NC 28083-5261 Ph: (980) 340-9505 |
Samantha Jayne Reese, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1309 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-933-3212 | |
Carrie Anne Smithson, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2020 Quill Ct, Kannapolis, NC 28083 Phone: 704-245-5773 | |
Sandra S Davis, R.N.C. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 Fax: 704-939-1173 | |
Theresa Lynne Harnage, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2711 Lane St, Kannapolis, NC 28083 Phone: 704-403-4800 | |
Frances R Johnson, R.N., B.S.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 Fax: 704-939-1173 | |
Ekima Caldwell-jefferies, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1912 Duke Adam St, Kannapolis, NC 28083 Phone: 704-960-7905 | |
Michelle L. Efaw, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1309 S. Cannon Blvd., Kannapolis, NC 28083 Phone: 704-933-3212 |