Chrisman, Amy L

Chrisman, Amy L is an individual health care provider with primary practice located at 1802 E 10Th St , Jeffersonville IN 47130. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Chrisman, Amy L can be contacted via phone (812) 503-5100.

Contact Information

Primary practice address
1802 E 10Th St Jeffersonville IN 47130
Phone: (812) 503-5100
Fax: (770) 573-9513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007741 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3007741 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71004678A Indiana

Profile Details

NPI number 1710230339
LBN Legal business name Chrisman, Amy L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2012
Last updated Oct 7th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710230339 NPPES
Kentucky MEDICAID 7100231300
Kentucky MEDICAID 201197160

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