Provider Demographics
NPI:1073830493
Name:HOOD, AMANDA SHONDELL (CRNP)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:SHONDELL
Last Name:HOOD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 LAKESHORE DR STE 440
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6732
Mailing Address - Country:US
Mailing Address - Phone:205-874-7844
Mailing Address - Fax:205-874-7848
Practice Address - Street 1:2204 LAKESHORE DR STE 440
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6732
Practice Address - Country:US
Practice Address - Phone:205-874-7844
Practice Address - Fax:205-874-7848
Is Sole Proprietor?:No
Enumeration Date:2010-04-25
Last Update Date:2010-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-098637363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health