Most Relevant Information
Provider Data
| NPI Number: | 1003301409 |
| Provider Name: | COURTNEY JEAN MARIE MAYO ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | A114464 |
Most Important Dates
| Enumeration Date: | 06/27/2018 |
| Last Updated: | 06/27/2018 |
Provider Practice Location
2600 OUTER DR N
SIOUX CITY
IA
511041585
Practice Location Phone/Fax
| Phone: | 7122393300 |
| Fax: | 7122398201 |
Provider Mailing Location
814 PIERCE ST STE 300
SIOUX CITY
IA
511011058
Provider Mailing Phone/Fax
| Phone: | 7122262600 |
| Fax: | 7122262605 |