Most Relevant Information
Provider Data
| NPI Number: | 1003517244 |
| Provider Name: | AMANDA MICHELLE WALSH APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 807548 |
Most Important Dates
| Enumeration Date: | 03/14/2023 |
| Last Updated: | 05/31/2023 |
Provider Practice Location
510 E COMMERCE ST
JACKSONVILLE
TX
757664910
Practice Location Phone/Fax
| Phone: | 9035359041 |
| Fax: |
Provider Mailing Location
1710 COUNTY ROAD 783
DOUGLASS
TX
759434240
Provider Mailing Phone/Fax
| Phone: | 9362056353 |
| Fax: |