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Contact Information

AMANDA JUTRAS
113 DOCTORS PARK
LINCOLNTON, NC28092-4407
 Phone: 704-735-1441
 Fax: 704-735-1472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for AMANDA JUTRAS · (Female)

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
  • NC License # 33U8W
  • NC License # 349451
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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