Individual
AMANDA HERNANDEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 NORTH ST, SMITHFIELD, NC 27577-4016
(919) 934-3015
Mailing address
1548 MONTCLAIR LN, CREEDMOOR, NC 27522-8251
(919) 201-9114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
04/16/2026
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