IndividualActive
Amanda Head, CPNP
NPI 1629537634 · Pediatric Nurse Practitioner · Covington, GA
Provider details
- NPI number
- 1629537634
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN102177 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
5211 Highway 278 Ne
Covington, GA 30014-2671
Phone: (770) 787-7444
Fax: (770) 787-5050
Approximate (ZIP-level) locationGet directions
Mailing address
2041 Burning Bush Ln
Conyers, GA 30094-1120
Registry dates
- Enumerated
- 2019-03-19
- Last updated
- 2022-04-19
- Certified
- 2022-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.