Provider Demographics
NPI:1295202992
Name:BARGER, AMY MICHELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MICHELLE
Last Name:BARGER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 LONG PRAIRIE RD # 200
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1795
Mailing Address - Country:US
Mailing Address - Phone:469-800-1030
Mailing Address - Fax:
Practice Address - Street 1:1600 W COLLEGE ST STE 680
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3581
Practice Address - Country:US
Practice Address - Phone:817-305-5061
Practice Address - Fax:817-305-5069
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-31
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139025363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner