Individual provider · Type 1 NPI
Amanda Mackillop, NP
Psychiatric/Mental Health Nurse Practitioner · Southold, NY
NPI number
1770128753
Active
Practice location
54655 Main Rd
Southold, NY 11971-4769
Fax (631) 212-0482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403484 (NY) |
| Registered Nurse | 163W00000X | 780342 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Southold
About NPI 1770128753
Amanda Mackillop, NP's National Provider Identifier is 1770128753, issued on Nov 13, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southold, NY. The record was last updated on Dec 17, 2025.