Provider Demographics
NPI:1811296148
Name:KINARD, AMY CUPPLES (NP-C)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:CUPPLES
Last Name:KINARD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LAUREN
Other - Last Name:CUPPLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1 CNN CTR NW
Mailing Address - Street 2:10 NORTH TURNER HEALTH AND WELLNESS CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-2762
Mailing Address - Country:US
Mailing Address - Phone:404-878-5700
Mailing Address - Fax:404-878-6005
Practice Address - Street 1:1 CNN CTR NW
Practice Address - Street 2:10 NORTH TURNER HEALTH AND WELLNESS CENTER
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-2762
Practice Address - Country:US
Practice Address - Phone:404-878-5700
Practice Address - Fax:404-878-6005
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN198554363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily