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

Mrs. Courtney Moultrie, FNP

Individual provider Nurse Practitioner · NPI 1760071740

Mrs. Courtney Moultrie, FNP is a Nurse Practitioner in Fresno, California. Qualified in 2019, 7 years ago. Practices with Edgar S. Macias, MD, Inc, a 13-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2021
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

1648 E Herndon Ave
Fresno, CA 93720-3381
Phone: (559) 432-7222
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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 95013368 (CA)

Record details

NPI number1760071740
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 13, 2021
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Edgar S. Macias, M.D., Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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