Individual
AMANDA ROSE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, PMHNP-BC
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 431-5533
Mailing address
643 E ALLOUEZ AVE, GREEN BAY, WI 54301-2005
(414) 552-8248
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15206-33
WI
Other
Enumeration date
04/01/2024
Last updated
12/26/2025
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