Provider Demographics
NPI:1962492082
Name:MCGEE, AMANDA J (FNPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:J
Last Name:MCGEE
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 W FLEMING DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3923
Mailing Address - Country:US
Mailing Address - Phone:828-612-4383
Mailing Address - Fax:828-548-0815
Practice Address - Street 1:505 W FLEMING DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3923
Practice Address - Country:US
Practice Address - Phone:828-435-2463
Practice Address - Fax:828-548-0815
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201618261QP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8949421Medicaid
NC7005908Medicaid
NC0002592229Medicare PIN
NCNC47500281Medicare PIN
NC8949421Medicaid
Q32332Medicare UPIN