IndividualActive
Amanda Mattingly, APRN
NPI 1194495168 · Family Nurse Practitioner · Campbellsville, KY
Provider details
- NPI number
- 1194495168
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 3016505 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
102 Winston Way
Campbellsville, KY 42718-4990
Phone: (270) 789-0034
Approximate (ZIP-level) locationGet directions
Mailing address
4770 Saint Rose Rd
Lebanon, KY 40033-9167
Registry dates
- Enumerated
- 2021-09-20
- Last updated
- 2021-09-20
- Certified
- 2021-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.