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COURTNEY CONKLIN PA
NPI 1619725710
Physician Assistant - Medical in Tampa, FL

Active since May 13, 2024
4444 E FLETCHER AVE STE C, TAMPA, FL 33613(813) 903-0060 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Nov 14, 2024, Sep 23, 2024 and 1 more (4 updates tracked since 2024).

About Courtney Conklin Pa NPPES

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

COURTNEY CONKLIN PA (NPI 1619725710) is an individual medical provider in Tampa, Florida and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1619725710
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCOURTNEY CONKLINCredential: PA
Location Address4444 E FLETCHER AVE STE CTampa, FL 33613-4905
Mailing Address5711 Waterside Dr Apt 302Lakeland, FL 33805-9637
Phone(813) 903-0060
Sole ProprietorNo
Enumeration DateMay 13, 2024
Last NPPES UpdateFebruary 19, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1619725710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4444 E FLETCHER AVE STE C, Tampa, FL 33613
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Other Providers at the Same Location NPPES 2

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

CARLY MORGAN REEVES DNP, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
4444 E FLETCHER AVE STE C
TAMPA, FL 33613
Hillsborough County (813) 903-0060
DR. ROGER AVON HUGHES III DO
Pediatrics
4444 E FLETCHER AVE STE C
TAMPA, FL 33613
Hillsborough County (813) 903-0060

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 Conklin's NPI number?

The NPI number for Courtney Conklin is 1619725710. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Courtney Conklin located?

Courtney Conklin practices at 4444 E Fletcher Ave Ste C, Tampa, FL 33613. The listed phone number is (813) 903-0060.

What is Courtney Conklin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Courtney Conklin was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.