IndividualActive
Amanda Walsh, APRN
NPI 1003517244 · Pediatric Nurse Practitioner · Jacksonville, TX
Provider details
- NPI number
- 1003517244
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 807548 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
510 E Commerce St
Jacksonville, TX 75766-4910
Phone: (903) 535-9041
Street-level locationGet directions
Mailing address
1710 County Road 783
Douglass, TX 75943-4240
Registry dates
- Enumerated
- 2023-03-14
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.