Individual
AMANDA DIAMANTINA REYES-GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2725 JAMES SANDERS BLVD, PADUCAH, KY 42001-8405
(270) 554-5114
(270) 573-0000
Mailing address
6430 WAID CIR, PADUCAH, KY 42001-9698
(270) 201-8503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3018891
KY
363LF0000X
Family Nurse Practitioner
Primary
3018891
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3018891
KY
Other
Enumeration date
01/13/2023
Last updated
11/19/2025
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