Christmas, Amanda Michelle

Christmas, Amanda Michelle is an individual health care provider with primary practice located at 1310 S Lebanon St , Lebanon IN 46052-3076. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Christmas, Amanda Michelle can be contacted via phone (765) 680-0071.

Contact Information

Primary practice address
1310 S Lebanon St Lebanon IN 46052-3076
Phone: (765) 680-0071
Fax: (765) 436-0455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28211780A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71011446A Indiana

Profile Details

NPI number 1235804261
LBN Legal business name Christmas, Amanda Michelle
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2021
Last updated Oct 16th, 2023 - 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 1235804261 NPPES
Indiana MEDICAID 300054325

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