Ivey, Amy S.
Ivey, Amy S. is an individual health care provider with primary practice located at 195 W Illinois Ave , Southern Pines NC 28387-5808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ivey, Amy S. can be contacted via phone (910) 692-2444.Contact Information
Primary practice address
195 W Illinois Ave
Southern Pines NC 28387-5808
Phone: (910) 692-2444
Fax: (910) 692-3651
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 75718 | North Carolina |
Profile Details
NPI number | 1770558868 |
---|---|
LBN Legal business name | Ivey, Amy S. |
Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770558868 | NPPES |
North Carolina | Other | 102767 | NURSING LICENSE |
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