Provider Demographics
NPI:1164319612
Name:DUKES, AMY MARIE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:DUKES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 TERRACE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-3999
Mailing Address - Country:US
Mailing Address - Phone:812-371-8375
Mailing Address - Fax:
Practice Address - Street 1:2011 CHAPA ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-4638
Practice Address - Country:US
Practice Address - Phone:812-371-8375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program