Individual provider · Type 1 NPI
Amy Jo Fugate, AGPCNP
Gerontology Nurse Practitioner · Mattoon, IL
NPI number
1962020560
Active
Practice location
1000 Palm Ave
Mattoon, IL 61938-6031
Mailing address
15730 N State Highway 130
Newton, IL 62448-3273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209021558 (IL) |
Gerontology Nurse Practitioner: Definition to come...
6 other providers at this address
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- Petersen Health Care Ii, IncSkilled Nursing Facility Mattoon, IL NPI 1578714713
- Petersen Management Company, LLCSkilled Nursing Facility Mattoon, IL NPI 1487610291
- Jennifer Joan Clough, COTA/LOccupational Therapy Assistant Mattoon, IL NPI 1144809344
- Madeline Koester, APRNFamily Nurse Practitioner Mattoon, IL NPI 1013711563
- Marci Elaine Summers, CCC-SLPSpeech-Language Pathologist Mattoon, IL NPI 1215560198
Other gerontology nurse practitioner providers in Mattoon
About NPI 1962020560
Amy Jo Fugate, AGPCNP's National Provider Identifier is 1962020560, issued on Jul 9, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mattoon, IL. The record was last updated on Jan 16, 2024.