Individual
AMY E QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3030 NORTH ST, SUITE 420, BEAUMONT, TX 77702-1433
(409) 835-2900
(409) 835-1350
Mailing address
PO BOX 846098, DALLAS, TX 75284-5098
(903) 606-6400
(903) 606-1522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
737292
TX
363L00000X
Nurse Practitioner
AP122235
TX
363LF0000X
Family Nurse Practitioner
Primary
AP122235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K2013
MEDICARE
TX
05
—
341858401
—
TX
05
—
341858403
—
TX
01
—
P02601537
MCRR
TX
Enumeration date
08/13/2012
Last updated
08/24/2023
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