IndividualActive
Amanda Maddox, FNP
NPI 1073109708 · Nurse Practitioner · Summerdale, AL
Provider details
- NPI number
- 1073109708
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-150202 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
511 State Highway 59 N
Summerdale, AL 36580-3686
Phone: (251) 989-9400
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 703
Summerdale, AL 36580-0703
Additional practice locations (1)
- 6631 Park DrDaphne, AL 36526-5227Phone: (251) 626-5700
Registry dates
- Enumerated
- 2020-12-16
- Last updated
- 2022-10-18
- Certified
- 2022-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.