Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COURTNEY SANDERS
NPI 1104738814
Nurse Practitioner in Mount Vernon, IL

Q: What is Courtney Sanders's NPI number?

The NPI number for Courtney Sanders is 1104738814. It was assigned to this individual provider in the NPPES registry on September 18, 2026.

Q: What is Courtney Sanders's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Sanders was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.

Active since September 18, 2026

3120 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864(618) 899-9533 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Courtney Sanders NPPES

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

COURTNEY SANDERS (NPI 1104738814) is an individual nurse practitioner in Mount Vernon, Illinois, licensed in Illinois (209036599) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1104738814

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCOURTNEY SANDERS

Location Address3120 VETERANS MEMORIAL DRMount Vernon, IL 62864-5951

Mailing Address1307 E Mccord StCentralia, IL 62801-3610 · (618) 899-9200

Phone(618) 899-9533

Sole ProprietorNo

Enumeration DateSeptember 18, 2026

NPPES CertifiedSeptember 18, 2026

✔ NPI 1104738814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209036599

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3120 VETERANS MEMORIAL DR, Mount Vernon, IL 62864

Open in Google Maps ↗

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 Sanders's NPI number?

The NPI number for Courtney Sanders is 1104738814. It was assigned to this individual provider in the NPPES registry on September 18, 2026.

Where is Courtney Sanders located?

Courtney Sanders practices at 3120 Veterans Memorial Dr, Mount Vernon, IL 62864. The listed phone number is (618) 899-9533.

What is Courtney Sanders's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Courtney Sanders was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.