Individual provider · Type 1 NPI

Courtney L. Porter, CPNP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1730483314 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Fax (682) 885-7856

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X713901 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1730483314

Courtney L. Porter, CPNP's National Provider Identifier is 1730483314, issued on Dec 22, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on May 10, 2021.