Individual
AMANDA LEE KEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1412 E REELFOOT AVE, UNION CITY, TN 38261
(731) 885-5131
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24843
TN
363LA2200X
Adult Health Nurse Practitioner
AG09170078
AL
Other
Enumeration date
08/30/2018
Last updated
12/12/2018
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