Wellformed AI

NPI 1053148338 · live from the CMS NPI Registry

Audrey Courtney, DNP

Nurse Practitioner, Pediatrics in Mobile, AL. National Provider Identifier 1053148338, active.

NPI record

NPI1053148338 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1700 Center St, Mobile, AL 36604
Practice phone251-415-1546
Mailing addressPo Box 746450, Atlanta, GA 30374
EnumeratedSeptember 19, 2024
Last updatedMay 20, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Acute Care363LA2100X203315 (LA)
Pediatrics, Pediatric Critical Care Medicine2080P0203X203315 (LA)
Nurse Practitioner, Pediatrics primary363LP0200X1-201155 (AL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.