Provider Demographics
NPI:1306163308
Name:KNAPP, COURTNEY DEIVERT (ARNP, NP-C)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:DEIVERT
Last Name:KNAPP
Suffix:
Gender:F
Credentials:ARNP, NP-C
Other - Prefix:MS
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:DEIVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, NP-C
Mailing Address - Street 1:1600 LAKELAND HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-3019
Mailing Address - Country:US
Mailing Address - Phone:863-680-7000
Mailing Address - Fax:866-264-8519
Practice Address - Street 1:395 CYPRESS GARDENS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-4452
Practice Address - Country:US
Practice Address - Phone:863-837-5738
Practice Address - Fax:866-264-8519
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9266013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily