Shuptrine, Amy Jo

Shuptrine, Amy Jo is an sole proprietor health care provider with primary practice located at 2000 S Palestine St , Athens TX 75751-5610. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shuptrine, Amy Jo can be contacted via phone (903) 676-1000.

Contact Information

Primary practice address
2000 S Palestine St Athens TX 75751-5610
Phone: (903) 676-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 812655 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP140582 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP140582 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP140582 Texas

Profile Details

NPI number 1104382597
LBN Legal business name Shuptrine, Amy Jo
Credentials MSN, APRN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2019
Last updated Feb 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104382597 NPPES
Texas Other 15390359 TEXAS DRIVERS LICENSE

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