Individual provider · Type 1 NPI

Amanda Jean Wilson, PHYSICIAN ASSISTANT

Medical Physician Assistant · Springfield, MA

NPI number 1467976084 Active

Practice location

759 Chestnut St Ste C3350
Springfield, MA 01107-1619

Call (413) 794-6297 Map

Fax (413) 794-1767

Mailing address

280 Chestnut St Fl 2
Springfield, MA 01199-1001

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA9044 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1467976084

Amanda Jean Wilson, PHYSICIAN ASSISTANT's National Provider Identifier is 1467976084, issued on Jul 26, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MA. The record was last updated on Jan 23, 2023.