Provider Demographics
NPI:1437301892
Name:NANCE, AMY GALE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:GALE
Last Name:NANCE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:GALE
Other - Last Name:DICKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:619 19TH ST S
Mailing Address - Street 2:WP 302
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-1900
Mailing Address - Country:US
Mailing Address - Phone:205-975-2236
Mailing Address - Fax:205-975-5776
Practice Address - Street 1:619 19TH ST S
Practice Address - Street 2:WP 302
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-1900
Practice Address - Country:US
Practice Address - Phone:205-975-2236
Practice Address - Fax:205-975-5776
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-082206363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily