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NPI Code Detail

MEDICARE: AMANDA L PERKINS

MEDICARE: AMANDA L PERKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner1-181546AL

General Provider Information

NPI Number : 1164230736
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA L PERKINS
Provider Business Mailing Address
First Line : 148 J C MAULDIN HWY
Second Line :
City : KILLEN
State : AL
Zip : 35645-9106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 PERIMETER PARK S STE 195A
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-2327
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2024
Last Update Date : 12/03/2025

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Directions to “ AMANDA L PERKINS ” Practice Location

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