Individual
MRS. AMANDA M SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP, BC
Contact information
Practice address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2009033462
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326376682
—
MO
01
—
1720058381
JESSE DWAYNE HELTON NPI
MO
01
—
2009033462
LICENCE
MO
05
—
595379306
—
MO
05
—
595379314
—
MO
Enumeration date
11/25/2009
Last updated
06/05/2023
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