Provider Demographics
NPI:1497908529
Name:WELDON, AMY FIELDS (CRNP, FNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:FIELDS
Last Name:WELDON
Suffix:
Gender:F
Credentials:CRNP, FNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MICHELLE
Other - Last Name:KENNEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP, FNP
Mailing Address - Street 1:1911 LAY DAM RD
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35045-8351
Mailing Address - Country:US
Mailing Address - Phone:205-280-3248
Mailing Address - Fax:205-280-3369
Practice Address - Street 1:1015 LAY DAM RD
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-2305
Practice Address - Country:US
Practice Address - Phone:205-280-3248
Practice Address - Fax:205-280-3369
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-077902363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily