Individual
MRS. AMANDA SUSAN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
111 W STONE DR STE 110, KINGSPORT, TN 37660-6027
Mailing address
502 WINTERHAM DR, ABINGDON, VA 24211-3806
(850) 258-4470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177206
VA
363L00000X
Nurse Practitioner
APN0000026505
TN
363L00000X
Nurse Practitioner
ARNP9336675
FL
Other
Enumeration date
03/26/2018
Last updated
12/11/2019
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