Individual
MRS. AMANDA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 WESLEY DR, MEMPHIS, TN 38116-6426
(901) 516-5741
(901) 516-5596
Mailing address
PO BOX 1000, DEPT 351, MEMPHIS, TN 38148-0001
(901) 516-5741
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26410
TN
363LA2100X
Acute Care Nurse Practitioner
A006264
AR
Other
Enumeration date
06/18/2019
Last updated
12/30/2019
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