Phelps, Amanda Jo

Phelps, Amanda Jo is an individual health care provider with primary practice located at 220 E Virginia St , Evansville IN 47711-5530. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Phelps, Amanda Jo can be contacted via phone (812) 777-0127.

Contact Information

Primary practice address
220 E Virginia St Evansville IN 47711-5530
Phone: (812) 777-0127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71003752A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 71003752A Indiana

Profile Details

NPI number 1104101047
LBN Legal business name Phelps, Amanda Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Jun 6th, 2023 - about 3 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 1104101047 NPPES
Indiana MEDICAID 20104470

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