Individual
AMY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1414 E WALNUT ST, SEGUIN, TX 78155-5175
(830) 491-5019
(830) 491-5109
Mailing address
1414 E WALNUT ST, SEGUIN, TX 78155-5175
(830) 491-5019
(830) 491-5019
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
742708
TX
Other
Enumeration date
08/17/2011
Last updated
06/28/2025
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