Individual provider · Type 1 NPI

Amanda Lee Iwelunmor, NP

Nurse Practitioner · Roswell, GA

NPI number 1154749356 Active

Practice location

976 Mansell Rd
Roswell, GA 30076-1533

Mailing address

7401 Blackmon Rd, Apt 2805
Columbus, GA 31909-4489

Other practice locations

  • 7401 Blackmon Rd, Apt 2805, Columbus, GA 31909-4489 · (734) 812-8070

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN260862 (GA)
Registered Nurse 163W00000X4704272706 (MI)
Registered Nurse 163W00000XRN260862 (GA)

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…

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About NPI 1154749356

Amanda Lee Iwelunmor, NP's National Provider Identifier is 1154749356, issued on Apr 3, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Roswell, GA. The record was last updated on Mar 5, 2024.