NPI 1164200358

Courtney Thornton

Practitioner Driver Jacksonville, FL

Practice location

Address: 11756 Lake Bend Cir, Jacksonville, FL 32218-9058
Phone: (267) 994-5400

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1164200358
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2023
Record last updated: 19 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.