Individual
AMY MARIE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(706) 231-7561
Mailing address
1091 KACIE DR, PLEASANT VIEW, TN 37146-3708
(706) 231-7561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1011166
TN
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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