Provider Demographics
NPI:1982252185
Name:GOWER, AMANDA JANE (PA-C)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JANE
Last Name:GOWER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 HARVEST LN
Mailing Address - Street 2:
Mailing Address - City:POCONO SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18346-7761
Mailing Address - Country:US
Mailing Address - Phone:722-639-5430
Mailing Address - Fax:722-639-5431
Practice Address - Street 1:174 HARVEST LN
Practice Address - Street 2:
Practice Address - City:POCONO SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18346-7761
Practice Address - Country:US
Practice Address - Phone:722-639-5430
Practice Address - Fax:722-639-5431
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA060907363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant