Amanda Dawn Anderson, LVN
Individual provider Active NPI Licensed Vocational Nurse · Jacksonville, TX
NPI 1295233146 · NPPES record last updated Jan 25, 2018
Key facts
- NPI
- 1295233146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 210598 (TX)
- Practice address
- FM 347
Jacksonville, TX 75766 - Phone
- (936) 585-0455
- NPI assigned
- Jan 25, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210598 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 210598 | TX | Yes |
Addresses
Primary practice location
FM 347
Jacksonville, TX 75766
Mailing address
21578 FM 343
Cushing, TX 75760-4941
Other providers in Jacksonville, TX
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- John T Ardill
- Julian Avery Armstrong
- Assisted Living Concepts Inc
- Ault McInnis PLLC
- Kristin L Ault
All providers in Jacksonville, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2018. 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.