Amanda Faye Tison, APRN, FNP-C
Nurse Practitioner, Family in Locust Grove, GA. Individual provider (NPI-1).
NPI number1164088977
StatusActive
Last updated in NPPESDec 2, 2021
Details
- NPI
- 1164088977
- Entity type
- Individual (NPI-1)
- Name
- Amanda Faye Tison
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2019
- Certification date
- Dec 2, 2021
- Last updated
- Dec 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | GAA-NP000337 | GA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 11002465 | FL |
Other names
- Amanda Faye Thompson (Former Name)
Practice location
4837 Bill Gardner Pkwy Ste BLocust Grove, GA 30248-3734
Phone 678-800-1602
Mailing address
72 Bolingview RdJuliette, GA 31046-3932
Phone 904-507-1221
Other practice locations
542325 Us Highway 1
Callahan, FL 32011-6496
Callahan, FL 32011-6496
Phone 904-507-1221
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All 19 Family Nurse Practitioner providers in Locust Grove · All 328 providers in Locust Grove
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