Mounce, Amanda Allen

Mounce, Amanda Allen is an individual health care provider with primary practice located at 861 Old Winston Rd Suite 103, Kernersville NC 27284-7140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mounce, Amanda Allen can be contacted via phone (336) 802-2300.

Contact Information

Primary practice address
861 Old Winston Rd Suite 103 Kernersville NC 27284-7140
Phone: (336) 802-2300
Fax: (336) 802-2301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 219532 North Carolina

Profile Details

NPI number 1740553429
LBN Legal business name Mounce, Amanda Allen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2012
Last updated Jan 13th, 2014 - about 11 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 1740553429 NPPES
North Carolina MEDICAID 1740553429

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