Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1120 S MAIN ST, SEARCY, AR 72143-7319
(501) 207-4700
(501) 207-4707
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004686
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212470758
—
AR
Enumeration date
03/07/2016
Last updated
04/02/2021
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