Individual
MR. JEFFREY PAUL AMUNDSON
Active
Individual
MR. JEFFREY PAUL AMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN690860
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP033977
PA
Other
Enumeration date
04/04/2025
Last updated
09/25/2025
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