Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Stackhouse, APN

Individual provider Family Nurse Practitioner · NPI 1801644505

Amanda Stackhouse, APN is a Nurse Practitioner in New Brunswick, New Jersey. Qualified in 2023, 3 years ago. Practices with Southern Bank Emergency Physicians LLC, a 12-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone: (732) 745-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15002000 (NJ)

Record details

NPI number1801644505
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address6 Gail Rd, Hillsborough, NJ 08844-4207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southern Bank Emergency Physicians Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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