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COURTNEY CLUBB MSN-FNP
NPI 1073074258
Nurse Practitioner - Family in Odessa, TX

Active since March 28, 2019
3415 BRENTWOOD DR, ODESSA, TX 79762(432) 385-4076 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Clubb Msn-fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY CLUBB MSN-FNP (NPI 1073074258) is an individual family provider in Odessa, Texas, licensed in Texas (AP141065) and active in the NPI registry since March 2019. She maintains a secondary practice location in Derby.

NPPES Registry Identity

NPI1073074258
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY CLUBBCredential: MSN-FNP
Location Address3415 BRENTWOOD DROdessa, TX 79762-6906
Mailing Address3016 Woodridge LnOdessa, TX 79762-5232 · (806) 543-7339
Phone(432) 385-4076
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1073074258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · AP141065✔ Licensed in KS · 53-85470-022
3415 BRENTWOOD DR, Odessa, TX 79762
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Secondary Practice Location 1

Location 11019 N Beau Jardin StDerby, KS 67037-7336 · Phone (316) 250-7907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Clubb's NPI number?

The NPI number for Courtney Clubb is 1073074258. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Courtney Clubb located?

Courtney Clubb practices at 3415 Brentwood Dr, Odessa, TX 79762. The listed phone number is (432) 385-4076.

What is Courtney Clubb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Courtney Clubb was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.