Individual provider · Type 1 NPI
Amanda Wall Blair, NNP-BC
Neonatal Nurse Practitioner · Stockbridge, GA
NPI number
1477212629
Active
Practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | RN197245 (GA) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | RN197245 (GA) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1477212629
Amanda Wall Blair, NNP-BC's National Provider Identifier is 1477212629, issued on Dec 15, 2021. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Stockbridge, GA. The record was last updated on Mar 20, 2025.