Provider Demographics
NPI:1659164226
Name:ATKINSON, AMANDA E (MSN, RN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:E
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 KY HIGHWAY 185
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-9692
Mailing Address - Country:US
Mailing Address - Phone:270-392-1719
Mailing Address - Fax:
Practice Address - Street 1:4949 KY HIGHWAY 185
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-9692
Practice Address - Country:US
Practice Address - Phone:270-392-1719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1158564163W00000X
171400000X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator