| Amy Jo Dupuis, ARNP | |
|
273 Sussex Ave E, Tenino, WA 98589-9359 | |
| (360) 264-5665 | |
| (360) 264-5666 |
| Full Name | Amy Jo Dupuis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 273 Sussex Ave E, Tenino, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295511913 | NPI | - | NPPES |
| 2265652 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61490625 (Washington) | Primary |
| Entity Name | Lewis County Community Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
| Entity Name | Clear Choice Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891327185 PECOS PAC ID: 4789005034 Enrollment ID: O20200611000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Jo Dupuis, ARNP 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9595 | Amy Jo Dupuis, ARNP 273 Sussex Ave E, Tenino, WA 98589-9359 Ph: (360) 264-5665 |
Karen M Carlson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 273 Sussex Ave E, Tenino, WA 98589 Phone: 360-264-5665 Fax: 360-264-5666 | |
Ms. Janet Lynn Black, ARNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 273 Sussex Ave E, Tenino, WA 98589 Phone: 360-264-5665 Fax: 360-264-5666 |