MEDICARE: AMY MANN

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	363LF0000X	Family Nurse Practitioner	APRN62763	WV

General Provider Information

NPI Number	:	1336692441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MANN

Provider Business Mailing Address
First Line	:	702 PROFESSIONAL PARK DR STE 104
Second Line	:
City	:	SUMMERSVILLE
State	:	WV
Zip	:	26651-2033
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 PROFESSIONAL PARK DR STE 104
Second Line	:
City	:	SUMMERSVILLE
State	:	WV
Zip	:	26651-2033
Country	:	US
Telephone Number	:	304-872-0089
Fax Number	:

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

Provider Enumeration Date	:	07/26/2016
Last Update Date	:	01/05/2026

Similar Medicare Providers

1649513367 — JULIE PETERSEN MARCINEK DO
Practice Location Address:

702 PROFESSIONAL PARK DR STE 104
SUMMERSVILLE, WV
26651-2033

Practice Phone: 304-872-0089
Practice Fax:

1316048804 — DR. KATHERINE M WOOTON DDS
Practice Location Address:

702 PROFESSIONAL PARK DR STE 100
SUMMERSVILLE, WV
26651-2033

Practice Phone: 304-872-7272
Practice Fax: 304-872-9595

1366571499 — MR. LARRY JACKSON LEGG M.A.
Practice Location Address:

702 PROFESSIONAL PARK DR , STE 106
SUMMERSVILLE, WV
26651-2033

Practice Phone: 304-883-2380
Practice Fax: 304-883-2383

1518579689 — CHARLESTON AREA MEDICAL CENTER, INC.
Practice Location Address:

702 PROFESSIONAL PARK DR STE 102
SUMMERSVILLE, WV
26651-2033

Practice Phone: 304-872-0035
Practice Fax: 304-872-0102

1649849340 — KATHERINE WOOTON D.D.S., INC
Practice Location Address:

702 PROFESSIONAL PARK DR STE 100
SUMMERSVILLE, WV
26651-2033

Practice Phone: 304-872-7272
Practice Fax:

1356060925 — MEAGAN KREPS FNP-BC
Practice Location Address:

702 PROFESSIONAL PARK DR STE 102
SUMMERSVILLE, WV
26651-2033

Practice Phone: 304-872-0089
Practice Fax:

Directions to “ AMY MANN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.