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Individual
AMANDA KATE LONG
Active
Individual
AMANDA KATE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
251491
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
31845
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95035906
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP143361
TX
Other
Enumeration date
10/03/2019
Last updated
01/06/2026
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