| Mrs Courtney Lane Davis, FNP-C, AGACNP-BC | |
|
2382 Crawfordville Hwy Ste C, Crawfordville, FL 32327-1091 | |
| (850) 926-6363 | |
| Not Available |
| Full Name | Mrs Courtney Lane Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2382 Crawfordville Hwy Ste C, Crawfordville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609336296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN11002624 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11002624 (Florida) | Primary |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Patients First Lake Ella Medical Center P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164524039 PECOS PAC ID: 4082760566 Enrollment ID: O20090924000578 |
| Entity Name | Lake Oliver Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013675016 PECOS PAC ID: 4688060940 Enrollment ID: O20220413002299 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Courtney Lane Davis, FNP-C, AGACNP-BC 42 Egret St N, Crawfordville, FL 32327-1411 Ph: (573) 855-2887 | Mrs Courtney Lane Davis, FNP-C, AGACNP-BC 2382 Crawfordville Hwy Ste C, Crawfordville, FL 32327-1091 Ph: (850) 926-6363 |
Whitney Lynn Lockwood, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Council Moore Rd, Crawfordville, FL 32327 Phone: 850-926-7105 Fax: 850-926-2034 | |
Dr. Jill Hanks, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2668 Crawfordville Hwy, Crawfordville, FL 32327 Phone: 850-926-3541 | |
Madison C. Thomas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2668 Crawfordville Hwy, Crawfordville, FL 32327 Phone: 850-926-3541 | |
Aida M Casto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2382 Crawfordville Hwy, Suite C, Crawfordville, FL 32327 Phone: 850-926-6363 Fax: 850-926-2602 | |
Mr. Ronald Anthony Tubbs Jr., APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Melaleuca Dr, Crawfordville, FL 32327 Phone: 850-410-1895 | |
Ms. Judy A Harris, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7121 Coastal Hwy, Crawfordville, FL 32327 Phone: 850-577-2444 Fax: 850-577-2015 | |
Mrs. Melissa Lea Cabe, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 418 Ace High Stables Rd, Crawfordville, FL 32327 Phone: 850-766-9777 |