Individual
AMY LUCKETT ENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
12011 SAN VICENTE BLVD STE 305A, LOS ANGELES, CA 90049-4944
(747) 212-3876
Mailing address
5206 FOUNDERS WAY CT, HOUSTON, TX 77091-5654
(662) 645-2386
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
901683
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95007447
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP141672
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61413619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00026834
—
MS
Enumeration date
09/14/2016
Last updated
07/03/2024
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