IndividualActive
Amanda Mavis, FNP
NPI 1396269700 · Psychiatric/Mental Health Nurse Practitioner · Springfield, IL
Provider details
- NPI number
- 1396269700
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209016157 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3225 Hedley Rd
Springfield, IL 62711-6248
Phone: (217) 726-7300
Fax: (217) 726-5989
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3428
Springfield, IL 62708-3428
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2017-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.