Individual
MRS. AMANDA MICHELLE CHRISTMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1310 S LEBANON ST, LEBANON, IN 46052-3076
(765) 680-0071
(765) 436-0455
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28211780A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71011446A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300054325
—
IN
Enumeration date
08/11/2021
Last updated
10/16/2023
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