Individual provider · Type 1 NPI

Amanda Ellenberg

Registered Nurse · Dublin, GA

NPI number 1043138613 Active

Practice location

654 County Farm Rd
Dublin, GA 31021-1799

Call (478) 272-2051 Map

Mailing address

205 Beaver Run Dr
Dublin, GA 31021-3863

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN298574 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1043138613

Amanda Ellenberg's National Provider Identifier is 1043138613, issued on Jul 9, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Dublin, GA. The record was last updated on Jul 9, 2026.