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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNESS DONIPHAN COURTNEY III, MD

Active Sole Proprietor

DR. JENNESS DONIPHAN COURTNEY III, MD is a Physical Medicine & Rehabilitation healthcare provider located in SHREVEPORT, Louisiana. NPI 1811980675 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · SHREVEPORT, LA

Registration Details

NPI Number
1811980675
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2005 (20.82486233625 yrs)
Last Updated
Jun 28, 2010
Licenses
023053 (LA)
E1524 (AR)
Sole Proprietor
Yes

Practice Information

Address
1801 FAIRFIELD AVE
SUITE 411
SHREVEPORT, LA, 711014443
Browse LA providers · Browse ZIP 71101
Phone
3184244224
Fax
3184244044
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in SHREVEPORT, LA

Name Credential NPI
DAVID N ADAMS MD 1750373338
DR. MRUNALINI B SHAH M.D. 1457320616
MRS. KATHARINE J BALBUENA MD 1750340105
DR. DON CHRISTOPHER PIRRAGLIA DO 1851487862
JOHN ERIC BICKNELL SR. MD 1740357722
MR. JOHN NICHOLAS HODGE III PTA 1811414642
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.