Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Waters

Individual provider Physician Assistant · NPI 1639571961

Courtney Waters is a Physician Assistant in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

11513 N Main St
Jacksonville, FL 32218-4002
Phone: (904) 751-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11513 N Main St, Jacksonville, FL 32218-4002 — (904) 751-6200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108237 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PAT9108237 (FL)

Record details

NPI number1639571961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2014
Last updated in NPPESMay 10, 2021
Certification dateApril 28, 2021

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