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Individual

AMANDA MCGUIRE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
700 SHEPHERD ST, HENDERSONVILLE, NC 28792-6472
(828) 559-1591
Mailing address
18 BANKS TOWN RD, WEAVERVILLE, NC 28787-9296
(828) 777-3003
(855) 494-0022

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005536
NC
363L00000X
Nurse Practitioner
ARNP9318870
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7006288
NC
Enumeration date
07/18/2011
Last updated
03/17/2018
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