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NPI Code Detail

MEDICARE: AMANDA DAWN FULBRIGHT PMHNP-BC

MEDICARE:   AMANDA DAWN FULBRIGHT  PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner236373AR

General Provider Information

NPI Number : 1902758451
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA DAWN FULBRIGHT PMHNP-BC
Provider Business Mailing Address
First Line : 316 E MAIN ST
Second Line :
City : MOUNTAIN VIEW
State : AR
Zip : 72560-6587
Country : US
Telephone Number : 870-269-2995
Fax Number :
Provider Business Practice Location Address
First Line : 316 E MAIN ST
Second Line :
City : MOUNTAIN VIEW
State : AR
Zip : 72560-6587
Country : US
Telephone Number : 870-269-2995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 05/05/2026

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Directions to “ AMANDA DAWN FULBRIGHT PMHNP-BC” Practice Location

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