Provider Demographics
NPI:1225362932
Name:BANKS, AMY HARRELL (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:HARRELL
Last Name:BANKS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:HARRELL
Other - Last Name:CRAVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:911 PLAZA AVE STE C
Mailing Address - Street 2:
Mailing Address - City:EASTMAN
Mailing Address - State:GA
Mailing Address - Zip Code:31023-6786
Mailing Address - Country:US
Mailing Address - Phone:478-374-5774
Mailing Address - Fax:478-374-9112
Practice Address - Street 1:911 PLAZA AVE STE C
Practice Address - Street 2:
Practice Address - City:EASTMAN
Practice Address - State:GA
Practice Address - Zip Code:31023-6786
Practice Address - Country:US
Practice Address - Phone:478-374-5774
Practice Address - Fax:478-374-9112
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN123659363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner