National Provider Identifier
Courtney Nicole Reardon, RN
Courtney Nicole Reardon, RN is listed in the NPPES registry with a primary specialty of Home Health Registered Nurse in Jamestown, NY and a listed phone number of (716) 487-2273.
Profile Overview
- NPI
- 1750092086
- Provider Type
- Individual
- Primary Specialty
- Home Health Registered Nurse
- Enumeration Date
- December 07, 2022
- Last Updated
- December 07, 2022
Practice Location
- 411 W 3Rd St
- Jamestown, NY 14701-4801
Phone: (716) 487-2273
Specialties
- Home Health Registered Nurse (163WH0200X)
Full Record
- NPI
- 1750092086
- Entity Type
- Individual
- Last Name
- Reardon
- First Name
- Courtney
- Middle Name
- Nicole
- Name Prefix
- MS.
- Credential
- RN
- Provider Other Last Name
- Campbell
- Provider Other First Name
- Courtney
- Provider Other Middle Name
- Nicole
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 411 W 3Rd St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-4801
- Mailing Country
- US
- Mailing Phone
- (716) 487-2273
- Mailing Fax
- (716) 484-9584
- Practice Street Address
- 411 W 3Rd St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-4801
- Practice Country
- US
- Practice Phone
- (716) 487-2273
- Practice Fax
- (716) 484-9584
- Enumeration Date
- December 07, 2022
- Last Updated
- December 07, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Home Health Registered Nurse (163WH0200X)