Provider Demographics
NPI:1467974204
Name:CARNEY TINSLEY, AMANDA SUE (APRN, DNP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:SUE
Last Name:CARNEY TINSLEY
Suffix:
Gender:F
Credentials:APRN, DNP
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:SUE
Other - Last Name:CARNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGACNP, DNP
Mailing Address - Street 1:900 S LIMESTONE ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1823
Practice Address - Country:US
Practice Address - Phone:859-257-1000
Practice Address - Fax:859-218-7658
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011518363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care