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AMY HUMPHREYS REVELS APRN NPI 1952093981


NPI Information

NPI: 1952093981
Provider Name: AMY HUMPHREYS REVELS, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1701 SE HILLMOOR DR
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 480-5860
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Amy Humphreys Revels, APRN is a family nurse practitioner in Port St Lucie, FL with 1 years of experience. Amy Humphreys Revels, APRN NPI is 1952093981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

1701 SE HILLMOOR DR
PORT ST LUCIE, FL
ZIP 34952-552
Phone: (772) 480-5860
Fax: (772) 264-8310

The NPI 1952093981 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2023 and was last updated on 5/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN9499830FLORIDANo
2363LF0000XNurse PractitionerFamily11026609FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.