Organization
SENIOR CARE PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMANDA MCNULTY DNP, PMHNP-BC,FNP-BC (OWNER)
(904) 557-4306
Entity
Organization
Contact information
Practice address
46 EMBER RD, JESUP, GA 31545-3915
(904) 557-4306
Mailing address
46 EMBER RD, JESUP, GA 31545-3915
(904) 557-4306
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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