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Amanda Faye Tison, APRN,FNP-C
Family Nurse Practitioner in Locust Grove, Georgia
NPI 1164088977

Amanda Faye Tison is a Family Nurse Practitioner based in Juliette, GA and is specialized in Family. Amanda Faye Tison practices in Locust Grove, GA and has the professional credentials of APRN,FNP-C. The NPI Number for Amanda Faye Tison is 1164088977 and holds a License No. 11002465 (Georgia).

The current practice location address for Amanda Faye Tison is 4837 Bill Gardner Pkwy Ste B, Locust Grove, GA and can be reached out via phone at 678-800-1602.

Location: 4837 Bill Gardner Pkwy Ste B, Locust Grove, GA, 31046-3932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164088977
Provider Name
Amanda Faye Tison
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
4837 Bill Gardner Pkwy Ste B, Locust Grove, GA, 31046-3932
Phone Number
678-800-1602
Fax Number
Provider Enumeration Date
05/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4837 Bill Gardner Pkwy Ste B
City
Locust Grove
State
Georgia
Zip
30248-3734
Phone Number
678-800-1602
Fax Number
person
Provider Business Mailing Address Details
Address
4837 Bill Gardner Pkwy Ste B
City
Locust Grove
State
Georgia
Zip
30248-3734
Phone Number
678-800-1602
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11002465 (Florida)
Definition
Definition to come...
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