Individual
AMANDA BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6020 GROVEPORT RD, GROVEPORT, OH 43125-1005
(614) 567-6274
(855) 604-0927
Mailing address
211 S 5TH ST, COLUMBUS, OH 43215-5203
(614) 567-6274
(855) 604-0927
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
419540
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0028976
OH
Other
Enumeration date
04/02/2021
Last updated
01/12/2026
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