MEDICARE: AMY A STINSON AG-ACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	AP07920	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AP07920	OTHER	LA	STATE LICENSE

General Provider Information

NPI Number	:	1194133421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY A STINSON AG-ACNP-BC

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:	786-522-9018

Provider Business Practice Location Address
First Line	:	2900 E TEXAS ST STE 100
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-3275
Country	:	US
Telephone Number	:	318-606-6737
Fax Number	:	833-749-0344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2014
Last Update Date	:	03/20/2026

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