Individual
AMANDA TEQUILLA MCMILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 22ND ST S FL 3, BIRMINGHAM, AL 35233-3110
(205) 801-8400
Mailing address
502 JEREMIAH DR, TRUSSVILLE, AL 35173-2143
(205) 994-0331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-176146
AL
363LA2100X
Acute Care Nurse Practitioner
1-176146
AL
363LF0000X
Family Nurse Practitioner
Primary
1-176146
AL
Other
Enumeration date
09/24/2020
Last updated
06/30/2023
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