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NPI Code Detail

MEDICARE: AMANDA LEIGH EVERETT NP

MEDICARE:   AMANDA LEIGH EVERETT  NP
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
1363LF0000XFamily Nurse Practitioner5017828NC
2363L00000XNurse Practitioner5017828NC

General Provider Information

NPI Number : 1417671116
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LEIGH EVERETT NP
Provider Business Mailing Address
First Line : 3311 BEAM RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-9422
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3311 BEAM RD
Second Line : STE 300A
City : CHARLOTTE
State : NC
Zip : 28217-9422
Country : US
Telephone Number : 704-468-0137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2022
Last Update Date : 01/22/2026

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Directions to “ AMANDA LEIGH EVERETT NP” Practice Location

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