Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy L Wyatt, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1508499278

Amy L Wyatt, AGPCNP is a Gerontology Nurse Practitioner in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020

Practice location Address checks out

1125 Madison St
Jefferson City, MO 65101-5227
Phone: (573) 632-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2019037098 (MO)

Record details

NPI number1508499278
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedFebruary 20, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

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