# AMANDA JO HENNING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215456983
- **Gender:** F
- **Credential:** MSN, NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NJ00760500 | NJ | — |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00760500 | NJ | — |
| 363LG0600X | Gerontology Nurse Practitioner | 26NJ00760500 | NJ | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 26NJ00760500 | NJ | — |

## Other

- **Enumeration date:** 09/14/2017
- **Last updated:** 02/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 26NJ00760500 | STATE LICENSE | NJ |