Amanda Lashay Mathis, LPN
Licensed Practical Nurse in Jonesboro, AR. Individual provider (NPI-1).
NPI number1982170908
StatusActive
Last updated in NPPESOct 17, 2018
Details
- NPI
- 1982170908
- Entity type
- Individual (NPI-1)
- Name
- Amanda Lashay Mathis
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2018
- Last updated
- Oct 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L049677 | AR | Yes |
Practice location
3100 Apache DrJonesboro, AR 72401-7404
Phone 870-333-5437
Mailing address
3100 Apache DrJonesboro, AR 72401-7404
Phone 870-333-5437
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