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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. AMANDA LEIGH KNOBLOCH, NP-C

Active Sole Proprietor

MRS. AMANDA LEIGH KNOBLOCH, NP-C is a Family Nurse Practitioner healthcare provider located in FULTS, Illinois. NPI 1396110276 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FULTS, IL

Registration Details

NPI Number
1396110276
Provider Type
Individual
Gender
Female
NPI Issued
Dec 3, 2015 (10.686955616639 yrs)
Last Updated
Dec 3, 2015
License
2015042059 (MO)
Sole Proprietor
Yes

Practice Information

Address
3601 LL RD
FULTS, IL, 622441231
Browse IL providers · Browse ZIP 62244
Phone
6185582497
Primary Specialty
Family Nurse Practitioner
363LF0000X
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.