Individual
AMANDA FORTNER MITCHELL
Active
Individual
AMANDA FORTNER MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1328
AL
363AS0400X
Surgical Physician Assistant
Primary
PA1328
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220540
—
AL
Enumeration date
01/26/2018
Last updated
01/29/2026
Update your record
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