Bennett, Amanda

Bennett, Amanda is an individual health care provider with primary practice located at 2000 Riverside Pkwy Ste 207 , Lawrenceville GA 30043-5926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bennett, Amanda can be contacted via phone (678) 646-0404.

Contact Information

Primary practice address
2000 Riverside Pkwy Ste 207 Lawrenceville GA 30043-5926
Phone: (678) 646-0404
Fax: (678) 646-0202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN216022 Georgia

Profile Details

NPI number 1750858056
LBN Legal business name Bennett, Amanda
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2018
Last updated Oct 25th, 2018 - about 7 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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