Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA JEAN MADDOX, FNP
ActiveAMANDA JEAN MADDOX, FNP is a Nurse Practitioner healthcare provider located in SUMMERDALE, Alabama. NPI 1073109708 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · SUMMERDALE, AL
Registration Details
- NPI Number
- 1073109708
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2020 (5.6537593090688 yrs)
- Last Updated
- Oct 18, 2022
- Licenses
-
1-150202 (AL)1-150202 (AL)
Practice Information
- Address
-
511 STATE HIGHWAY 59 NSUMMERDALE, AL, 365803686Browse AL providers · Browse ZIP 36580
- Phone
- 2519899400
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.