Individual
AMY DOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8000
Mailing address
10627 GREGG RD, FREDERICKTOWN, OH 43019-9337
(740) 398-8613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0040087
OH
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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