Provider Demographics
NPI:1235467481
Name:YOUELL, AMY (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:YOUELL
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4212 CHARLESTOWN RD STE 3
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-9487
Mailing Address - Country:US
Mailing Address - Phone:812-913-0080
Mailing Address - Fax:
Practice Address - Street 1:4212 CHARLESTOWN RD STE 3
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-9487
Practice Address - Country:US
Practice Address - Phone:812-913-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006277363L00000X
IN71005339A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ2227002Medicare PIN