Individual
MRS. AMANDA RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3408 TROUT ST, BRUNSWICK, GA 31520-3622
(912) 466-9111
(912) 466-0366
Mailing address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 223-3321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN229934
GA
Other
Enumeration date
01/14/2014
Last updated
04/20/2023
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