Amanda Jutras
Nurse Practitioner, Pediatrics in Lincolnton, North Carolina
1639740384- Practice location
- 113 Doctors Park, Lincolnton, NC 28092-4407
- Phone
- 704-735-1441
- Fax
- 704-735-1472
- Last updated
- April 24, 2023
Amanda Jutras is a Nurse Practitioner, Pediatrics based in Lincolnton, NC. Amanda Jutras practices in Lincolnton, NC. The NPI Number for Amanda Jutras is 1639740384 and holds a License No. 349451 (NC). The current practice location address for Amanda Jutras is 113 Doctors Park, Lincolnton, NC 28092-4407 and can be reached out via phone at 704-735-1441 and via fax at 704-735-1472.
Provider Profile Details
- NPI Number
- 1639740384
- Provider Name
- Amanda Jutras
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 113 Doctors Park, Lincolnton, NC 28092-4407
- Phone Number
- 704-735-1441
- Fax Number
- 704-735-1472
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 5, 2021
- Last Update Date
- April 24, 2023
- Certification Date
- April 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 Doctors Park
Lincolnton, NC 28092-4407 - City
- Lincolnton
- State
- North Carolina
- Zip
- 28092-4407
- Phone Number
- 704-735-1441
- Fax Number
- 704-735-1472
Provider Business Mailing Address Details
- Address
- 968 Hampton RD
Pomfret Center, CT 06259-2017 - City
- Pomfret Center
- State
- CT
- Zip
- 06259-2017
- Phone Number
- 860-539-8952
License Information
- License Number (1)
- 349451
- License State (1)
- NC
- Taxonomy (1)
- Registered Nurse, Pediatrics · 163WP0200X
- License Number (2)
- 33U8W
- License State (2)
- NC
- Taxonomy (2)
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Pediatrics providers near Lincolnton, NC
View all Nurse Practitioner, Pediatrics providers in Lincolnton →Frequently Asked Questions
What is the NPI number of Amanda Jutras?
The NPI number of Amanda Jutras is 1639740384. It was assigned on July 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Amanda Jutras?
Amanda Jutras is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NC under license number 349451.
Where does Amanda Jutras practice?
The practice location is 113 Doctors Park, Lincolnton, NC 28092-4407. The office can be reached at 704-735-1441 (phone) or 704-735-1472 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639740384 directly on the NPPES registry website.