Individual
AMY IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
712 WALL ST, NORMAN, OK 73069-6360
(405) 579-7560
(405) 579-7563
Mailing address
312 WATSON BRANCH LN APT 3325, MANSFIELD, TX 76063-6523
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1150882
TX
Other
Enumeration date
01/24/2024
Last updated
04/08/2025
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