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General NPI Number Information
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NPI Number | 1770001745
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Entity Type | Individual
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Provider Name | AMY NICOLE CHEEKS
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 320 SUNNYVIEW LN
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City | KALISPELL
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State | MT
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Zip | 59901-3129
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Country | US
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Telephone | 406-756-3526
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Fax | 406-751-6738
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Provider Business Mailing Address
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Address Line | PO BOX 80883
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City | ATHENS
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State | GA
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Zip | 30608-0883
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Country | US
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Telephone | 404-384-6807
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN230919
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-187331
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License Number State | MT
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