Individual
MS. AMY MARIE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
245 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-4333
(910) 353-6529
Mailing address
245 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-4333
(910) 353-6529
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
451
NC
367A00000X
Advanced Practice Midwife
Primary
154051
NC
367A00000X
Advanced Practice Midwife
451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002237
—
NC
Enumeration date
03/09/2010
Last updated
10/16/2017
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