Individual
AMANDA JO MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-4353
(417) 269-4869
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-4869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2010004417
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424257608
—
MO
Enumeration date
03/19/2010
Last updated
04/30/2026
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