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Individual

AMY FAY ALLISTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP, PMHNP, IBCLC

Contact information

Practice address
308B S MAIN ST STE 222, FARMVILLE, VA 23901-1744
(434) 808-9453
(800) 317-0655
Mailing address
308B S MAIN ST STE 222, FARMVILLE, VA 23901-1744
(434) 808-9453
(800) 317-0655

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-88133
VA
363LF0000X
Family Nurse Practitioner
Primary
0024186591
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024186591
VA

Other

Enumeration date
05/22/2020
Last updated
03/10/2026
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