Provider Demographics
NPI:1104590967
Name:BARLOW, COURTNEY LEGGETT (RN)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LEGGETT
Last Name:BARLOW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 BLUEBONNET CIR
Mailing Address - Street 2:
Mailing Address - City:MC GREGOR
Mailing Address - State:TX
Mailing Address - Zip Code:76657-9510
Mailing Address - Country:US
Mailing Address - Phone:601-978-0306
Mailing Address - Fax:
Practice Address - Street 1:354 BLUEBONNET CIR
Practice Address - Street 2:
Practice Address - City:MC GREGOR
Practice Address - State:TX
Practice Address - Zip Code:76657-9510
Practice Address - Country:US
Practice Address - Phone:601-978-0306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX948732163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse