Provider Demographics
NPI:1750807939
Name:ROLLINS, AMY R (FNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:R
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 JOSEPH CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:BELINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:26250-4513
Mailing Address - Country:US
Mailing Address - Phone:304-841-2440
Mailing Address - Fax:
Practice Address - Street 1:342 JOSEPH CHAPEL RD
Practice Address - Street 2:
Practice Address - City:BELINGTON
Practice Address - State:WV
Practice Address - Zip Code:26250-4513
Practice Address - Country:US
Practice Address - Phone:304-841-2440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN77075-NP-C363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily