Amanda Shawn Whitaker, FNP-C
Nurse Practitioner, Primary Care in Cotter, AR. Individual provider (NPI-1).
NPI number1295235331
StatusActive
Last updated in NPPESJul 8, 2026
Details
- NPI
- 1295235331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Shawn Whitaker
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2018
- Certification date
- Jul 8, 2026
- Last updated
- Jul 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | A005997 | AR | Yes |
| 363LF0000X | Nurse Practitioner, Family | 902479 | MS |
Practice location
1629 Harding BlvdCotter, AR 72626-9770
Phone 870-435-1629
Mailing address
1629 Harding BlvdCotter, AR 72626-9770
Phone 870-435-1629 · Fax 870-299-4700
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