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AMANDA BRUNNER
NPI 1366053043
Student in an Organized Health Care Education/Training Program in Jacksonville, AL

Active since August 14, 2020
404 HENRY RD SW, JACKSONVILLE, AL 36265(706) 263-3566 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Brunner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA BRUNNER (NPI 1366053043) is an individual student in an organized health care education/training program in Jacksonville, Alabama and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1366053043
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA BRUNNER
Location Address404 HENRY RD SWJacksonville, AL 36265-3338
Mailing Address404 Henry Rd SwJacksonville, AL 36265-3338 · (706) 263-3566
Phone(706) 263-3566
Sole ProprietorNo
Enumeration DateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
✔ NPI 1366053043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
404 HENRY RD SW, Jacksonville, AL 36265
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDLER AUSTIN INGRAM
Student in an Organized Health Care Education/Training Program
404 HENRY RD SW
JACKSONVILLE, AL 36265
Calhoun County (170) 630-7163

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Brunner's NPI number?

The NPI number for Amanda Brunner is 1366053043. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Amanda Brunner located?

Amanda Brunner practices at 404 Henry Rd SW, Jacksonville, AL 36265. The listed phone number is (706) 263-3566.

What is Amanda Brunner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Brunner was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.