Individual provider · Type 1 NPI

Amanda Vallen Head, CPNP

Pediatric Nurse Practitioner · Covington, GA

NPI number 1629537634 Active

Practice location

5211 Highway 278 NE
Covington, GA 30014-2671

Call (770) 787-7444 Map

Fax (770) 787-5050

Mailing address

2041 Burning Bush Ln
Conyers, GA 30094-1120

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XRN102177 (GA)
Pediatric Nurse Practitioner Primary 363LP0200XRN181771 (GA)

Pediatric Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1629537634

Amanda Vallen Head, CPNP's National Provider Identifier is 1629537634, issued on Mar 19, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Covington, GA. The record was last updated on Apr 19, 2022.