| Doctor Name: | AMANDA G WATKINS |
| NPI Number: | 1215913298 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 3004398 |
| Business Practice Address: | 39 Cumberland Gap Plz Gray, KY - 407344536 |
| Business Phone Number: | 6065269005 |
| Business Fax Number: | 6065268606 |
| Mailing Address: | Po Box 570, GRAY |
| State: | KY |
| Postal Code: | 407340570 |
| Phone Number: | 6065269005 |
| Fax Number: | 6065268606 |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 01/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3004398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |