Provider Demographics
NPI:1205296480
Name:TOUCHTON, AMBER KASEY (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:KASEY
Last Name:TOUCHTON
Suffix:
Gender:
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 FORTRESS WAY
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549-0047
Mailing Address - Country:US
Mailing Address - Phone:864-607-3693
Mailing Address - Fax:
Practice Address - Street 1:206 FORTRESS WAY
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:GA
Practice Address - Zip Code:30549-0047
Practice Address - Country:US
Practice Address - Phone:864-607-3693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130394363LF0000X
GARN305256363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily