Horrocks, Amanda Jill

Horrocks, Amanda Jill is an individual health care provider with primary practice located at 9280 W Stockton Blvd Ste 230 , Elk Grove CA 95758-8078. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Horrocks, Amanda Jill can be contacted via phone (916) 576-7924.

Contact Information

Primary practice address
9280 W Stockton Blvd Ste 230 Elk Grove CA 95758-8078
Phone: (916) 576-7924
Fax: (916) 691-9461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 615996 California

Profile Details

NPI number 1326353657
LBN Legal business name Horrocks, Amanda Jill
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2010
Last updated Mar 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326353657 NPPES
New York MEDICAID 00630039

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