Individual
AMANDA RENEER STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8535 BLANCO RD STE 103, SAN ANTONIO, TX 78216-3040
(210) 880-0006
(210) 579-1852
Mailing address
12377 MERIT DR STE 300, DALLAS, TX 75251-3126
(972) 957-3000
(972) 957-3005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1089383
TX
Other
Enumeration date
03/30/2022
Last updated
10/26/2022
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