Provider Demographics
NPI:1922580703
Name:ALCORN, AMANDA HOPE (NP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:HOPE
Last Name:ALCORN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3328
Mailing Address - Country:US
Mailing Address - Phone:724-983-2777
Mailing Address - Fax:
Practice Address - Street 1:1 PEARTREE WAY
Practice Address - Street 2:JAMESON HOSPITAL
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1954
Practice Address - Country:US
Practice Address - Phone:724-773-8960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily