Individual
ANDREA TERRY HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
234 PORTER ST, MORGANTOWN, KY 42261-8629
(270) 526-9652
Mailing address
234 PORTER ST, MORGANTOWN, KY 42261-8629
(270) 526-9652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018609
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3018609
KENTUCKY BOARD OF NURSING
KY
01
—
F07221114
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
—
Enumeration date
02/01/2023
Last updated
02/01/2023
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