Provider Demographics
NPI:1538396155
Name:DAVIS-HOUCHEN, AMANDA SUE (FNP-C)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:SUE
Last Name:DAVIS-HOUCHEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:SUE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1036 SHARON DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-4522
Mailing Address - Country:US
Mailing Address - Phone:812-280-6606
Mailing Address - Fax:812-280-6608
Practice Address - Street 1:1036 SHARON DR
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-4522
Practice Address - Country:US
Practice Address - Phone:812-280-6606
Practice Address - Fax:812-280-6608
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002711A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily