Individual
AMANDA JESSICA FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17600 INTERSTATE 45 S, THE WOODLANDS, TX 77384-5148
(936) 267-5000
Mailing address
17600 INTERSTATE 45 S, THE WOODLANDS, TX 77384-5148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP142073
TX
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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