Provider Demographics
NPI:1457838070
Name:NGO, AMY LEE GAFFNEY (APRN, AGNP-BC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEE GAFFNEY
Last Name:NGO
Suffix:
Gender:F
Credentials:APRN, AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3500 VICTORY GROUP WAY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9568
Mailing Address - Country:US
Mailing Address - Phone:972-381-9300
Mailing Address - Fax:972-381-9301
Practice Address - Street 1:3500 VICTORY GROUP WAY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9568
Practice Address - Country:US
Practice Address - Phone:972-381-9300
Practice Address - Fax:972-381-9301
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138177207QG0300X, 363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology