Tally, Amy A

Tally, Amy A is an individual health care provider with primary practice located at 902 Edmond St Ste 203 , Saint Joseph MO 64501-2762. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tally, Amy A can be contacted via phone (816) 364-4300.

Contact Information

Primary practice address
902 Edmond St Ste 203 Saint Joseph MO 64501-2762
Phone: (816) 364-4300
Fax: (816) 279-8148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011005425 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2011005425 Missouri

Profile Details

NPI number 1518265941
LBN Legal business name Tally, Amy A
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2011
Last updated Feb 7th, 2022 - about 2 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 1518265941 NPPES
Missouri Other 2011005425 MISSOURI STATE BOARD OF NURSING

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