Individual provider · Type 1 NPI

Kourtney Fallon, ARNP

Pediatric Nurse Practitioner · Tampa, FL

NPI number 1922470707 Active

Practice location

17 Davis Blvd, 100
Tampa, FL 33606-3475

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice locations

  • 2 Tampa General Cir, Tampa, FL 33606-3603 · (813) 974-2201

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XARNP9296288 (FL)
Pediatric Nurse Practitioner Primary 363LP0200XARNP9296288 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1922470707

Kourtney Fallon, ARNP's National Provider Identifier is 1922470707, issued on Oct 20, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tampa, FL. The record was last updated on Oct 27, 2020.