Head, Amanda Vallen

Head, Amanda Vallen is an sole proprietor health care provider with primary practice located at 5211 Highway 278 Ne , Covington GA 30014-2671. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Head, Amanda Vallen can be contacted via phone (770) 787-7444.

Contact Information

Primary practice address
5211 Highway 278 Ne Covington GA 30014-2671
Phone: (770) 787-7444
Fax: (770) 787-5050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X RN102177 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN181771 Georgia

Profile Details

NPI number 1629537634
LBN Legal business name Head, Amanda Vallen
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2019
Last updated Apr 19th, 2022 - 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 1629537634 NPPES
Georgia MEDICAID RN181771

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