Healthcare Provider Details

I. General information

NPI: 1174052724
Provider Name (Legal Business Name): AMY DENISON APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY MCNAUGHTON APRN, FNP-C

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 JACKSON ST FL 7
MONROE LA
71201-7407
US

IV. Provider business mailing address

5224 75TH ST STE D
LUBBOCK TX
79424-2525
US

V. Phone/Fax

Practice location:
  • Phone: 318-966-4126
  • Fax:
Mailing address:
  • Phone: 806-712-1096
  • Fax: 806-771-2093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-APO9318
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09318
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: