Amanda Leann Quinn, RN
Individual provider Active NPI General Practice Registered Nurse · Salem, AR
NPI 1285398396 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1285398396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- R100508 (AR)
- Practice address
- 193 Stoney Ridge LN
Salem, AR 72576-9071 - Phone
- (501) 732-0247
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R100508 | AR | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | R100508 | AR | Yes |
Addresses
Primary practice location
193 Stoney Ridge LN
Salem, AR 72576-9071
Mailing address
193 Stoney Ridge LN
Salem, AR 72576-9071
Phone (501) 732-0247
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN100508 | Other | AR | RN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
Other providers in Salem, AR
- Palace Drug of Salem LLC
- Tara Rae Pate
- April D Perry
- Rebecca Plumlee Phillips
- April Leann Porter
- Heather Callen Ray
- Tiffany Jean Reed
- Laurie Kathleen Romine
- Jennifer M Sadler
- Salem Clinic PLLC
All providers in Salem, AR · General Practice Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.