Individual
AMANDA H JANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1803 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-9629
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03635
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-03635
MEDICAL LICENSE
NC
Enumeration date
07/10/2012
Last updated
01/27/2022
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