Johnson, Amanda Bradley
Johnson, Amanda Bradley is an sole proprietor health care provider with primary practice located at 11491 Us 70 Hwy W , Clayton NC 27520-2207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Amanda Bradley can be contacted via phone (919) 550-2484.Contact Information
Primary practice address
11491 Us 70 Hwy W
Clayton NC 27520-2207
Phone: (919) 550-2484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5012876 | North Carolina |
Profile Details
| NPI number | 1023382264 |
|---|---|
| LBN Legal business name | Johnson, Amanda Bradley |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2012 |
| Last updated | Feb 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023382264 | NPPES |
| District of Columbia | MEDICAID | 024905300 |
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