Individual provider · Type 1 NPI
Courtney O'Connell Tibbetts
Psychiatric/Mental Health Nurse Practitioner · St. Petersburg, FL
NPI number
1740820653
Active
Practice location
7901 4th St N Ste 300
St. Petersburg, FL 33702-4399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11005327 (FL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP251277 (ME) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11005327 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740820653
Courtney O'Connell Tibbetts's National Provider Identifier is 1740820653, issued on Jan 8, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2025.