Individual
AMY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 COUNTRY CLUB LN, HOPKINSVILLE, KY 42240-1370
(270) 484-0872
Mailing address
801 COUNTRY CLUB LN, HOPKINSVILLE, KY 42240-1370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007959
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007959
KY APRN LICENSE
KY
Enumeration date
03/13/2013
Last updated
03/19/2024
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