| Doctor Name: | MRS. COURTNEY LEIGH PAULSEN |
| NPI Number: | 1700015534 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, NP-C |
| License Number: | 716281 |
| Business Practice Address: | 1700 Brazos Ave Rockdale, TX - 765672517 |
| Business Phone Number: | 5124464545 |
| Business Fax Number: | |
| Mailing Address: | Po Box 365, THORNDALE |
| State: | TX |
| Postal Code: | 765770365 |
| Phone Number: | 5124462862 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2009 |
| NPI Last Update Date: | 07/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 716281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |