MS. AMY LEA VERNON (NPI# 1114542560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114542560 |
| Entity Type | Individual |
| Full Name | MS. AMY LEA VERNON |
| Credential | CRNP |
| Practice Address |
400 Royal Crest Dr Apt G102 Muscle Shoals AL 35661-6455 |
| Practice Telephone | 2565776719 |
| Mailing Telephone | 2565776719 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-143517 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245369982 | Amy Hall Vernon | Physical Therapist | 1211 Palmetto Ave, Winter Park, FL 32789-4913 | 2007-03-05 |
| Street Address |
400 ROYAL CREST DR APT G102 |
| City | MUSCLE SHOALS |
| State | AL |
| Zip Code | 35661-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1205354222 | Life Counseling Center, LLC | Clinic/Center | 100 Alabama Ave., Suite C, Muscle Shoals, AL 35661 | 2017-08-30 |
| 1558884569 | Roger Eugene Jarrell | Pharmacist | 517 W. Avalon Ave, Walmart Pharmacy, Muscle Shoals, AL 35661 | 2017-07-21 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1265813802 | Brittany Johnson Sutton | Physical Therapy Assistant | 200 Alabama Avenue, Muscle Shoals, AL 35661 | 2015-06-09 |
| 1538566013 | Procare Physical Therapy | Physical Therapist | 322 Lonnie Dr., Muscle Shoals, AL 35661 | 2014-11-26 |
| 1972919165 | Erica Conley | Nurse Practitioner | 210 Avalon Ave, Muscle Shoals, AL 35661 | 2014-07-08 |
| 1205260254 | Donnella Tenn | Occupational Therapy Assistant | 200 Alabama Street, Muscle Shoals, AL 35661 | 2013-08-27 |
| 1043553357 | Thaddeus Jason Boughton | Nurse Practitioner | 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 | 2013-04-04 |
| 1629312301 | Sarah Blaylock | Occupational Therapist | 200 Alabama Ave, Muscle Shoals, AL 35661 | 2012-11-19 |
| Find all providers in zip 35661 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194235168 | Rachel Starks Austin | Nurse Practitioner | 203 Avalon Ave Ste 100, Muscle Shoals, AL 35661-2869 | 2017-10-04 |
| 1972919165 | Erica Conley | Nurse Practitioner | 210 Avalon Ave, Muscle Shoals, AL 35661 | 2014-07-08 |
| 1982860599 | Stephanie Weems | Nurse Practitioner | 102 Physicians Dr Ste B, Muscle Shoals, AL 35661-2100 | 2008-08-03 |
| 1760649008 | Charlene P Brown | Nurse Practitioner | 2410 Avalon Ave, Muscle Shoals, AL 35661-3283 | 2008-05-22 |
| 1619059938 | Rebecca A. Thompson | Nurse Practitioner | 102a Physicians Dr, Muscle Shoals, AL 35661-2100 | 2006-10-19 |
| 1073623013 | Kristy Oden | Nurse Practitioner | 104 Physicians Dr, Suite A, Muscle Shoals, AL 35661-2100 | 2006-08-30 |
| 1215446216 | Martina Renee Mitchell | Nurse Practitioner | 108 Avalon Ave, Muscle Shoals, AL 35661-2800 | 2017-09-22 |
| 1225578123 | Heather Fritts | Nurse Practitioner | 2400 Avalon Ave, Muscle Shoals, AL 35661 | 2017-02-27 |
| 1780121863 | Jordan K Weaver | Nurse Practitioner | 2400 Avalon Ave, Muscle Shoals, AL 35661-3187 | 2017-01-26 |
| 1093107369 | Melissa Anne Aycock | Nurse Practitioner | 104a Physicians Dr, Muscle Shoals, AL 35661-2100 | 2015-02-24 |
| Find all providers in MUSCLE SHOALS | ||||
| City | MUSCLE SHOALS |
| Zip Code | 35661 |
Please comment or provide details below to improve the information on MS. AMY LEA VERNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.