Individual provider · Type 1 NPI

Amanda Jean Maddox, FNP

Nurse Practitioner · Summerdale, AL

NPI number 1073109708 Active

Practice location

511 State Highway 59 N
Summerdale, AL 36580-3686

Mailing address

PO Box 703
Summerdale, AL 36580-0703

Other practice locations

  • 6631 Park Dr, Daphne, AL 36526-5227 · (251) 626-5700

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X1-150202 (AL)
Nurse Practitioner Primary 363L00000X1-150202 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1073109708

Amanda Jean Maddox, FNP's National Provider Identifier is 1073109708, issued on Dec 16, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Summerdale, AL. The record was last updated on Oct 18, 2022.