Individual
AMANDA LIN CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPN, APRN, FNP-BC
Contact information
Practice address
4156 EL INDIO HWY STE 150, EAGLE PASS, TX 78852-5976
(830) 752-3300
Mailing address
419 WOODHOUSE WAY, FORT WORTH, TX 76140-2013
(817) 718-7318
(817) 612-3209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201049
ND
363LF0000X
Family Nurse Practitioner
Primary
AP133266
TX
363LF0000X
Family Nurse Practitioner
C-APN.0104456-C-NP
CO
Other
Enumeration date
02/09/2017
Last updated
10/28/2025
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