AMANDA MICHELLE WALSH APRN NPI 1003517244

NPI Information

NPI: 1003517244
Provider Name: AMANDA MICHELLE WALSH, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
510 E COMMERCE ST
JACKSONVILLE, TX
ZIP 75766
Phone: (903) 535-9041
Get Directions

Amanda Michelle Walsh, APRN is a pediatrics nurse practitioner in Jacksonville, TX. Amanda Michelle Walsh, APRN NPI is 1003517244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 E COMMERCE ST
JACKSONVILLE, TX
ZIP 75766-910
Phone: (903) 535-9041

The NPI 1003517244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2023 and was last updated on 5/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		807548	TEXAS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	1113044	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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