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COURTNEY FORMAN, PMHNP-BC, FNP-C, FPA
PMHNP-BC, FNP-C, FPA
Nurse Practitioner
NPI: 1376099127IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
227.004073(IL)
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
209014910(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Class of 2011
Contact & Hours
Via practice · 2 locations total
- Address
- 13508 Julie Dr
Poplar Grove, IL 61065 - Phone
- (815) 209-8486
Quick Facts
- NPI
- 1376099127
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 15
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