Tison, Amanda Faye

Tison, Amanda Faye is an individual health care provider with primary practice located at 4837 Bill Gardner Pkwy Ste B , Locust Grove GA 30248-3734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tison, Amanda Faye can be contacted via phone (678) 800-1602.

Contact Information

Primary practice address
4837 Bill Gardner Pkwy Ste B Locust Grove GA 30248-3734
Phone: (678) 800-1602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11002465 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X GAA-NP000337 Georgia

Profile Details

NPI number 1164088977
LBN Legal business name Tison, Amanda Faye
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2019
Last updated Dec 2nd, 2021 - about 3 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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