Courtney Wall has Nurse Practitioner as her primary medical specialty. Their primary office is: 2650 Olive St in Saint Louis, Missouri.
They're a part of the: Provident Inc medical group which has around 10 members. You can call their office at 314-802-2647 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2020 (around 5 years of experience). They are listed as doing telehealth appointments.
Courtney Wall
Provident Inc
2650 Olive St
Saint Louis, Missouri 63103
314-802-2647
Phone: 314-802-2647
Enter a starting address:
Medical School: Sorry, her university is not listed
Graduation Year: 2020
The Primary Medical Specialty for Courtney Wall is listed as: Nurse Practitioner
Approximate Years of Experience: 5
PAC (PECOS ID)#: 0143647479
NPI #: 1639796766
NPI Created On: 07/06/2020
NPI Last Updated Listed as: 05/27/2021
Primary Taxonomy Code: 363LP0808X
License Number:
2020019958
Listed Gender: Female
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 834889123
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: PSYCHIATRY
Name of Drug #1: REXULTI
Open Associated Drug #1: 59148-037-13
Payments Total: $17
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 834889125
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: PSYCHIATRY
Name of Drug #1: REXULTI
Open Associated Drug #1: 59148-037-13
1201 S Grand Blvd
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10101 Woodfield Ln
Saint-louis, MO
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400 S Kingshighway Blvd
Saint-louis, MO
Washington University
615 S New Ballas Rd
Saint-louis, MO
Mercy Womens Services Llc
1031 Bellevue Ave
Saint-louis, MO
Ssm Medical Group Inc
2650 Olive St
Saint Louis Mo 63103-1424
Provident Inc
Clinical Social Worker
12141 Ladue Rd
Saint Louis Mo 63141-8120
Provident Inc
Clinical Social Worker
2650 Olive St
Saint Louis Mo 63103-1424
Provident Inc
Clinical Social Worker
2650 Olive St
Saint Louis Mo 63103-1424
Provident Inc
Nurse Practitioner
2650 Olive St
Saint Louis Mo 63103-1424
Provident Inc
Nurse Practitioner
2650 Olive St
Saint Louis Mo 63103-1424
Provident Inc
Nurse Practitioner
View all 10 members of Provident Inc medical group