NPI Profile for AMANDA JUTRAS in LINCOLNTON, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X |
| NPI # | 1639740384 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/05/2021 | |
| Last updated | 04/24/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMANDA JUTRAS
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