Meredith, Amanda Lynn

Meredith, Amanda Lynn is an individual health care provider with primary practice located at 2015 Jackson St , Anderson IN 46016-4337. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Meredith, Amanda Lynn can be contacted via phone (765) 609-6060.

Contact Information

Primary practice address
2015 Jackson St Anderson IN 46016-4337
Phone: (765) 609-6060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00420700 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10002656A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.003307 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1042 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020841-1 New York

Profile Details

NPI number 1013997014
LBN Legal business name Meredith, Amanda Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Oct 29th, 2020 - about 6 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 1013997014 NPPES
Nebraska Other 38594 BCBSNE

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