Healthcare Provider Details

I. General information

NPI: 1477408409
Provider Name (Legal Business Name): AMY LYNN STERRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N MAIN ST
CHATTAHOOCHEE FL
32324-1198
US

IV. Provider business mailing address

1308 NELSON HILL LN
ALFORD FL
32420-7206
US

V. Phone/Fax

Practice location:
  • Phone: 850-663-1067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number11045693
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number11045693
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: