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

Amanda Wilson, RN

Individual provider Nutrition Education Nutritionist · NPI 1962246207

Amanda Wilson, RN is a Nutrition Education Nutritionist in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

229 N Block Ave
Fayetteville, AR 72701-5204
Phone: (479) 200-2749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Support Registered Nurse (primary) Taxonomy 163WN1003X · Licence R090453 (AR)
Nutrition Education Nutritionist Taxonomy 133NN1002X

Record details

NPI number1962246207
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address3610 N Tower Cir, Fayetteville, AR 72704-7402