Individual
AMANDA JUANITA HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209029146
IL
363L00000X
Nurse Practitioner
24655
SC
363L00000X
Nurse Practitioner
Primary
71017431A
IN
363LF0000X
Family Nurse Practitioner
209029146
IL
363LF0000X
Family Nurse Practitioner
APN24655
SC
Other
Enumeration date
03/12/2021
Last updated
01/27/2026
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