Johnson, Amanda
Johnson, Amanda is an individual health care provider with primary practice located at 3101 Se 14Th St , Bentonville AR 72712-4900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Amanda can be contacted via phone (479) 986-6199.Contact Information
Primary practice address
3101 Se 14Th St
Bentonville AR 72712-4900
Phone: (479) 986-6199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004371 | Arkansas |
Profile Details
| NPI number | 1336535350 |
|---|---|
| LBN Legal business name | Johnson, Amanda |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2015 |
| Last updated | Feb 24th, 2021 - about 5 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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