Eubanks, Amanda Lea

Eubanks, Amanda Lea is an individual health care provider with primary practice located at 4301 W Markham St # 783 , Little Rock AR 72205-7101. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Eubanks, Amanda Lea can be contacted via phone (501) 686-8000.

Contact Information

Primary practice address
4301 W Markham St # 783 Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 686-8689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03096 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X A03096 Arkansas

Profile Details

NPI number 1124270848
LBN Legal business name Eubanks, Amanda Lea
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2008
Last updated May 31st, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124270848 NPPES
Oklahoma MEDICAID 200389410A
Oklahoma MEDICAID 187321758

Popular Providers