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

Mrs. Amanda Elizabeth Shaw

Individual provider Family Nurse Practitioner · NPI 1104216639

Mrs. Amanda Elizabeth Shaw is a Family Nurse Practitioner in Dallas, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015

Practice location Address checks out

495 Charles Hardy Pkwy
Dallas, GA 30157-5723
Phone: (770) 445-2128
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN210233 (GA)

Record details

NPI number1104216639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2015
Last updated in NPPESFebruary 9, 2020
Certification dateFebruary 9, 2020

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