Individual
AMANDA JAYNE KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4525 CAMERON VALLEY PKWY, CHARLOTTE, NC 28211-4369
(704) 355-5100
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009889
NC
Other
Enumeration date
07/26/2017
Last updated
09/25/2025
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