Individual
AMANDA MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11260 AVOCET LN APT 105, RALEIGH, NC 27617-8474
(919) 345-3493
Mailing address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(855) 984-5121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016838
NC
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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