Amanda Jo Phelps
Nurse Practitioner - Women's Health Nurse Practitioner - Obstetrics & Gynecology
4199 Gateway Blvd Ste 3500
Newburgh
, Indiana 47630-7909
Amanda Jo Phelps
Nurse Practitioner - Women's Health Nurse Practitioner - Obstetrics & Gynecology
4199 Gateway Blvd Ste 3500
Newburgh
, Indiana 47630-7909
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About
Features
Specialties
- Nurse Practitioner - Women's Health
- Nurse Practitioner - Obstetrics & Gynecology
Languages spoken
- English
Location
First Address
- Amanda Jo Phelps
- 8840 Commerce Park Pl Ste E
- Indianapolis, IN
- Zip : 46268-3129
- Phone :
Second Address
- Amanda Jo Phelps
- 4199 Gateway Blvd Ste 3500
- Newburgh, IN
- Zip : 47630-7909
- Phone : (812) 858-5950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 71003752A | IN |
| N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 71003752A | IN |
National Provider Identifier
| NPI | 1104101047 |
|---|---|
| Provider Name | Amanda Jo Phelps |
| First Address | Indianapolis, IN 46268-3129 |
| Second Address | Newburgh, IN 47630-7909 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2011 |
| Last Update Date | 03/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20104470 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.