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COURTNEY ELYSE FEZZEY
NPI 1073935383
Nurse Practitioner - Pediatrics, Critical Care in Detroit, MI

Active since January 07, 2014
3200 E LAFAYETTE ST, DETROIT, MI 48207(313) 567-0534(313) 567-0560 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Elyse Fezzey NPPES

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

COURTNEY ELYSE FEZZEY (NPI 1073935383) is an individual pediatrics, critical care provider in Detroit, Michigan, licensed in Michigan (4704268781) and active in the NPI registry since January 2014. She maintains a secondary practice location in Clinton Twp.

NPPES Registry Identity

NPI1073935383
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameCOURTNEY ELYSE FEZZEY
Location Address3200 E LAFAYETTE STDetroit, MI 48207-3812
Mailing Address3200 E Lafayette StDetroit, MI 48207-3812 · (313) 567-0534 · Fax (313) 567-0560
Phone(313) 567-0534
Fax(313) 567-0560
Sole ProprietorNo
Enumeration DateJanuary 7, 2014
Last NPPES UpdateFebruary 8, 2019
✔ NPI 1073935383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in MI · 4704268781
3200 E LAFAYETTE ST, Detroit, MI 48207
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Secondary Practice Location 1

Location 139200 Garfield Rd, Suite EClinton Twp, MI 48038-4095 · Phone (586) 263-4010

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE BOND FNP-C
Nurse Practitioner (Family)
3200 E LAFAYETTE ST
DETROIT, MI 48207
Wayne County (313) 567-0534

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 Fezzey's NPI number?

The NPI number for Courtney Fezzey is 1073935383. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Courtney Fezzey located?

Courtney Fezzey practices at 3200 E Lafayette St, Detroit, MI 48207. The listed phone number is (313) 567-0534.

What is Courtney Fezzey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

When was this NPI record last updated?

The NPPES record for Courtney Fezzey was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.