Wynn, Amy Marie

Wynn, Amy Marie is an individual health care provider with primary practice located at 245 Memorial Dr , Jacksonville NC 28546-6333. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Wynn, Amy Marie can be contacted via phone (910) 353-4333.

Contact Information

Primary practice address
245 Memorial Dr Jacksonville NC 28546-6333
Phone: (910) 353-4333
Fax: (910) 353-6529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 451 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 451 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 154051 North Carolina

Profile Details

NPI number 1619290301
LBN Legal business name Wynn, Amy Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2010
Last updated Oct 16th, 2017 - about 7 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 1619290301 NPPES
North Carolina MEDICAID 7002237

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