Individual
AMANDA ALLEN MOUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
861 OLD WINSTON RD, SUITE 103, KERNERSVILLE, NC 27284-7140
(336) 802-2300
(336) 802-2301
Mailing address
1701 WESTCHESTER DR, SUITE 850, HIGH POINT, NC 27262-7008
(336) 802-2536
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219532
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740553429
—
NC
Enumeration date
02/11/2012
Last updated
01/13/2014
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