Individual provider · Type 1 NPI

Amy L. Wyatt, AGPCNP

Gerontology Nurse Practitioner · Jefferson City, MO

NPI number 1508499278 Active

Practice location

1125 Madison St
Jefferson City, MO 65101-5227

Mailing address

PO Box 644
St. James, MO 65559-0644

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2019037098 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1508499278

Amy L. Wyatt, AGPCNP's National Provider Identifier is 1508499278, issued on Feb 20, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jefferson City, MO. The record was last updated on Feb 24, 2020.