Mitchell, Amanda Fortner

Mitchell, Amanda Fortner is an individual health care provider with primary practice located at 507 S 4Th St , Gadsden AL 35901-5216. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Mitchell, Amanda Fortner can be contacted via phone (256) 547-7417.

Contact Information

Primary practice address
507 S 4Th St Gadsden AL 35901-5216
Phone: (256) 547-7417
Fax: (256) 547-7414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1328 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Alabama

Profile Details

NPI number 1629576483
LBN Legal business name Mitchell, Amanda Fortner
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2018
Last updated May 31st, 2024 - about 2 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 1629576483 NPPES
Alabama MEDICAID 220540

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