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

Kourtney Green, FNP

Individual provider Nurse Practitioner · NPI 1972910602

Kourtney Green, FNP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2013, 13 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group and offers telehealth. Licensed in Indiana and Missouri.

Years since qualifying
13
Licensed in
IN, MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Phone: (260) 483-9081
Fax: (260) 483-9196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71005675A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 2013011851 (MO)

Record details

NPI number1972910602
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

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