Provider Demographics
NPI:1154931400
Name:ARMSTRONG, AMY LYNN (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7796 PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62707-8539
Mailing Address - Country:US
Mailing Address - Phone:217-741-5813
Mailing Address - Fax:
Practice Address - Street 1:1121 N 6TH ST
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:IL
Practice Address - Zip Code:62471-1219
Practice Address - Country:US
Practice Address - Phone:681-283-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041391769363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner