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AMANDA WILSON RN
NPI 1962246207
Registered Nurse - Nutrition Support in Fayetteville, AR

Active since June 21, 2024
229 N BLOCK AVE, FAYETTEVILLE, AR 72701(479) 200-2749 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Wilson Rn NPPES

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

AMANDA WILSON RN (NPI 1962246207) is an individual nutrition support provider in Fayetteville, Arkansas, licensed in Arkansas (R090453) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1962246207
Entity TypeIndividualFemale
Primary Taxonomy163WN1003X
Provider Legal NameAMANDA WILSONCredential: RN
Location Address229 N BLOCK AVEFayetteville, AR 72701-5204
Mailing Address3610 N Tower CirFayetteville, AR 72704-7402
Phone(479) 200-2749
Sole ProprietorYes
Enumeration DateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1962246207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Nutrition SupportNursing Service Providers
Taxonomy Code163WN1003X
License✔ Licensed in AR · R090453
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
229 N BLOCK AVE, Fayetteville, AR 72701
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Other Providers at the Same Location NPPES 2

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

NEW EQUINOX INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
229 N BLOCK AVE
FAYETTEVILLE, AR 72701
Washington County (479) 310-0061
CAMILLE E BOSWELL LPC
Counselor (Professional)
229 N BLOCK AVE
FAYETTEVILLE, AR 72701
Washington County (479) 310-0061

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 Wilson's NPI number?

The NPI number for Amanda Wilson is 1962246207. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Where is Amanda Wilson located?

Amanda Wilson practices at 229 N Block Ave, Fayetteville, AR 72701. The listed phone number is (479) 200-2749.

What is Amanda Wilson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Nutrition Support, with taxonomy code 163WN1003X.

When was this NPI record last updated?

The NPPES record for Amanda Wilson was last updated on June 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.