Individual
AMANDA SOUTHERLY STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4993 RUSSELL PKWY STE 170, WARNER ROBINS, GA 31088-8692
(478) 333-1550
Mailing address
4993 RUSSELL PKWY STE 170, WARNER ROBINS, GA 31088-8692
(478) 333-1550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP199282
GA
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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