Individual
AMANDA EILEEN WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2007 GRAVES MILL RD, FOREST, VA 24551-2656
(434) 385-8948
Mailing address
1126 ARMISTEAD RD, NATHALIE, VA 24577-2980
(919) 451-4135
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024173645
VA
367A00000X
Advanced Practice Midwife
0024173645
VA
Other
Enumeration date
06/02/2016
Last updated
11/12/2025
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