Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104769801 Individual Practitioner Female Practitioner

Amanda Mannon

Registered Nurse • Charleston, WV

Professional Overview & Biography Verified Profile Summary

Amanda Mannon is a registered healthcare professional specializing in Registered Nurse in Charleston, WV. Practice services are available at 3200 MACCORKLE AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3200 Maccorkle Ave Se

Charleston, WV 253041227

Telephone 3043885432
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Charleston, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 7.6 Yrs
Regional Practice Density
84 Specialists

Practicing in Charleston, WV (1023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-09
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OH 488306

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sandra Miles , CRNA, RN, BSN

Nurse Anesthetist, Certified Registered

NPI 1003141680

Certified Registered Nurse Anesthetist, Registered Nurse, Bachelor of Science in Nursing

Jennifer Valdez

Nurse Anesthetist, Certified Registered

NPI 1013530567
Dr. Hunter Nielsen , DO

Emergency Medicine

NPI 1013544915

Doctor of Osteopathic Medicine (D.O.)

Presley Wallace

Nurse Practitioner - Family

NPI 1023937711
Christopher Campbell , CNP

Nurse Practitioner

NPI 1033762497

Certified Nurse Practitioner

Brittany Cox , FNP-BC

Nurse Practitioner - Family

NPI 1033810775

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 09, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2026

Registered at 3200 MACCORKLE AVE SE, CHARLESTON, WV 253041227 (Tel: 3043885432)

📍
Updated Business Mailing Address April 09, 2026

Registered at 10 TOWNSHIP ROAD 1144, PROCTORVILLE, OH 456698554 (Tel: 3044163253)

👤
Provider Name / Credentials Updated April 09, 2026

Recorded as AMANDA MANNON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2026

Registered Nurse (License #488306 in OH)

🟢
Initial NPI Registration & Enumeration April 09, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104769801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2026
Last Update: April 09, 2026
Sole Proprietor: No

Mailing Address

10 Township Road 1144

Proctorville, OH 456698554

Phone: 3044163253

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.