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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMY JO FUGATE, AGPCNP

Active Sole Proprietor

AMY JO FUGATE, AGPCNP is a Gerontological Nurse Practitioner healthcare provider located in MATTOON, Illinois. NPI 1962020560 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · MATTOON, IL

Registration Details

NPI Number
1962020560
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2020 (6.0561072315055 yrs)
Last Updated
Jan 16, 2024
License
209021558 (IL)
Sole Proprietor
Yes

Practice Information

Address
1000 PALM AVE
MATTOON, IL, 619386031
Browse IL providers · Browse ZIP 61938
Phone
8883656271
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in MATTOON, IL

Name Credential NPI
ERICA OZIER APRN 1700607603
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.