Provider Demographics
NPI:1720567654
Name:ALLGARY, AMY LYNNE (NP-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNNE
Last Name:ALLGARY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 HIGHWAY 197 N
Mailing Address - Street 2:
Mailing Address - City:CLARKESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30523-4236
Mailing Address - Country:US
Mailing Address - Phone:706-982-4321
Mailing Address - Fax:
Practice Address - Street 1:1435 HIGHWAY 197 N
Practice Address - Street 2:
Practice Address - City:CLARKESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30523-4236
Practice Address - Country:US
Practice Address - Phone:706-982-4321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN231086363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily