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Individual

AMANDA NICOLE GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
7202 N FARLEY AVE, KANSAS CITY, MO 64158-1012
(816) 804-4552
Mailing address
7202 N FARLEY AVE, KANSAS CITY, MO 64158-1012
(816) 804-4552

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015000406
MO
363L00000X
Nurse Practitioner
209027428
IL
363L00000X
Nurse Practitioner
53-76656-121
KS
363L00000X
Nurse Practitioner
71015197A
IN

Other

Enumeration date
01/20/2015
Last updated
11/26/2025
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