Individual provider · Type 1 NPI
Amy Luckett Enis, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
NPI number
1194273565
Active
Practice location
12011 San Vicente Blvd Ste 305A
Los Angeles, CA 90049-4944
Mailing address
5206 Founders Way Ct
Houston, TX 77091-5654
Other practice locations
- 550 Westcott St Ste 520, Houston, TX 77007-9001 · (137) 864-6694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP141672 (TX) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61413619 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95007447 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 901683 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194273565
Amy Luckett Enis, PMHNP's National Provider Identifier is 1194273565, issued on Sep 14, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 3, 2024.