Provider Demographics
NPI:1326612268
Name:FARMER, AMELIA R (MSN APRN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:AMELIA
Middle Name:R
Last Name:FARMER
Suffix:
Gender:F
Credentials:MSN APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N LORETTO RD STE 600
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-1634
Mailing Address - Country:US
Mailing Address - Phone:270-692-5254
Mailing Address - Fax:
Practice Address - Street 1:420 N LORETTO RD STE 600
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1634
Practice Address - Country:US
Practice Address - Phone:270-692-5254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-15
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily