Brown, Amanda Jo

Brown, Amanda Jo is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. 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 / Physician Assistant is her primary health care specialty. Brown, Amanda Jo can be contacted via phone (701) 280-4140.

Contact Information

Primary practice address
1720 University Dr S Fargo ND 58103-4940
Phone: (701) 280-4140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PAC0437 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0437 North Dakota

Profile Details

NPI number 1285941872
LBN Legal business name Brown, Amanda Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2010
Last updated Jul 28th, 2021 - about 4 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 1285941872 NPPES
Minnesota MEDICAID 1285941872
Minnesota MEDICAID 71131

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