Provider Demographics
NPI:1265554331
Name:REED, AMANDA PARRISH (ARNP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:PARRISH
Last Name:REED
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 NW 57TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4482
Mailing Address - Country:US
Mailing Address - Phone:352-519-5430
Mailing Address - Fax:352-333-6249
Practice Address - Street 1:1034 NW 57TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4482
Practice Address - Country:US
Practice Address - Phone:352-519-5430
Practice Address - Fax:352-333-6249
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9182257363LX0001X, 363LW0102X
FL9182257363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308358600Medicaid
FL308358600Medicaid