Johnson, Amanda F

Johnson, Amanda F is an individual health care provider with primary practice located at 7990 Arco Corporate Dr Ste 110 , Raleigh NC 27617-2030. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Johnson, Amanda F can be contacted via phone (919) 544-5900.

Contact Information

Primary practice address
7990 Arco Corporate Dr Ste 110 Raleigh NC 27617-2030
Phone: (919) 544-5900
Fax: (919) 488-1455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 158854 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 158854 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 158854 North Carolina

Profile Details

NPI number 1083830137
LBN Legal business name Johnson, Amanda F
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Sep 26th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083830137 NPPES
North Carolina Other 158854 NURSING LICENSE
North Carolina MEDICAID 7004606 NURSING LICENSE

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