Individual
MRS. AMY ZICKEFOOSE KUPSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3158 FREEDOM DR STE 3101, CHARLOTTE, NC 28208-0014
(704) 348-2992
Mailing address
PO BOX 37938, CHARLOTTE, NC 28237-7938
(704) 332-0396
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01211463
NC
Other
Enumeration date
01/30/2021
Last updated
03/27/2025
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