Individual provider · Type 1 NPI

Courtney Helman Supon, RN, FNP-C

Family Nurse Practitioner · Austin, TX

NPI number 1104282920 Active

Practice location

6835 Austin Center Blvd
Austin, TX 78731-3166

Fax (512) 406-7315

Mailing address

4515 Seton Center Pkwy, Suite 215
Austin, TX 78759-5290

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X95003474 (CA)
Family Nurse Practitioner Primary 363LF0000XAP129597 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1104282920

Courtney Helman Supon, RN, FNP-C's National Provider Identifier is 1104282920, issued on Jan 8, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austin, TX. The record was last updated on Feb 1, 2018.