Individual
AMANDA MICHELLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
510 E COMMERCE ST, JACKSONVILLE, TX 75766-4910
(903) 535-9041
Mailing address
1710 COUNTY ROAD 783, DOUGLASS, TX 75943-4240
(936) 205-6353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
807548
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1113044
TX
Other
Enumeration date
03/14/2023
Last updated
11/21/2024
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