Wynne, Amy Simmons

Wynne, Amy Simmons is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr Hospital Medicine Program, Hammond LA 70403-1434. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wynne, Amy Simmons can be contacted via phone (985) 230-3066.

Contact Information

Primary practice address
15790 Paul Vega Md Dr Hospital Medicine Program Hammond LA 70403-1434
Phone: (985) 230-3066
Fax: (985) 230-2072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP06816 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP06816 Louisiana

Profile Details

NPI number 1710245691
LBN Legal business name Wynne, Amy Simmons
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Sep 25th, 2017 - about 8 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 1710245691 NPPES
Louisiana MEDICAID 2191462

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