Provider Demographics
NPI:1942683016
Name:WHISTLER, AMY R (APRN, FNP-BC, PMHNP-)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:R
Last Name:WHISTLER
Suffix:
Gender:F
Credentials:APRN, FNP-BC, PMHNP-
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:47167-9730
Mailing Address - Country:US
Mailing Address - Phone:812-883-3095
Mailing Address - Fax:812-883-8871
Practice Address - Street 1:1321 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IN
Practice Address - Zip Code:47167-9730
Practice Address - Country:US
Practice Address - Phone:812-883-3095
Practice Address - Fax:812-883-8871
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28193777A163W00000X
IN71005570A363LF0000X, 363LP0808X
IN71005570B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily