Individual
AMANDA SMITH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11340 LAKEFIELD DR STE 200, JOHNS CREEK, GA 30097-2456
(800) 275-3243
(973) 780-4300
Mailing address
PO BOX 402, REYNOLDS, GA 31076-0402
(229) 869-5807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN258458
GA
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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