IndividualActive
Amanda Lauderback, NP
NPI 1417295601 · Women's Health Nurse Practitioner · Stockbridge, GA
Provider details
- NPI number
- 1417295601
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- RN186980 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
115 Eagle Spring Dr
Stockbridge, GA 30281-6486
Phone: (770) 474-0064
Fax: (770) 474-2998
Approximate (ZIP-level) locationGet directions
Mailing address
115 Eagle Spring Dr
Stockbridge, GA 30281-6486
Registry dates
- Enumerated
- 2013-01-22
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.