Shanklin, Amanda Jane
Shanklin, Amanda Jane is an individual health care provider with primary practice located at 22431 Antonio Pkwy # B160-613 , Rancho Santa Margarita CA 92688-2804. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Shanklin, Amanda Jane can be contacted via phone (833) 477-2677.Contact Information
Primary practice address
22431 Antonio Pkwy # B160-613
Rancho Santa Margarita CA 92688-2804
Phone: (833) 477-2677
Fax: (833) 477-2677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA20964 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA20694 | California |
Profile Details
| NPI number | 1972827301 |
|---|---|
| LBN Legal business name | Shanklin, Amanda Jane |
| Credentials | MPAP, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2010 |
| Last updated | Jun 21st, 2024 - about last year |
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 | 1972827301 | NPPES |
| California | Other | PA20964 | CA LICENSE |
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