Individual
MRS. AMANDA WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
500 SPILLERS WAY, WARNER ROBINS, GA 31088-0513
(478) 953-4844
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(877) 852-2677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN209660
GA
363LP2300X
Primary Care Nurse Practitioner
RN209660
GA
Other
Enumeration date
12/12/2017
Last updated
01/31/2020
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