Individual
AMY HUMPHREYS REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 NEBRAKSA AVE, FORT PIERCE, FL 34950-4832
(772) 465-4444
(772) 466-4499
Mailing address
2000 NEBRAKSA AVE, FORT PIERCE, FL 34950
(772) 465-4444
(772) 466-4499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9499830
FL
363L00000X
Nurse Practitioner
11026609
FL
363LF0000X
Family Nurse Practitioner
Primary
11026609
FL
Other
Enumeration date
05/26/2023
Last updated
07/24/2025
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