Individual provider · Type 1 NPI

Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC

Family Nurse Practitioner · Southport, NC

NPI number 1194266023 Active

Practice location

924 N Howe St
Southport, NC 28461-3038

Other practice locations

  • 4222 Long Beach Rd SE, Southport, NC 28461-8627 · (910) 454-4732
  • 823 N Atlantic Ave, Southport, NC 28461-3531 · (910) 457-9292
  • 5131 Ocean Hwy E, Winnabow, NC 28479-5445 · (910) 233-7744

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X1158155 (TX)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X5009418 (NC)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XC-APRN.0102208-C-NP (CO)
Family Nurse Practitioner Primary 363LF0000X5009418 (NC)

Family Nurse Practitioner: Definition to come...

30 other providers at this address

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About NPI 1194266023

Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC's National Provider Identifier is 1194266023, issued on Mar 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southport, NC. The record was last updated on Apr 23, 2024.