Individual
DR. AMANDA FOUNTAIN UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
2002 CARPENTER UPCHURCH RD, CARY, NC 27519-7002
(919) 469-0057
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5013094
NC
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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