Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 986-6199
Mailing address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 986-6199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004371
AR
Other
Enumeration date
04/07/2015
Last updated
02/24/2021
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