Individual
AMANDA HACKEMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2315 GREEN VALLEY RD STE 100, NEW ALBANY, IN 47150-4690
(812) 945-2100
(812) 945-9495
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4917
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012653
KY
Other
Enumeration date
11/29/2018
Last updated
12/03/2020
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