Individual
AMANDA BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
961 SPRING CREEK RD STE 300, CHATTANOOGA, TN 37412-3976
(423) 893-9787
(423) 893-9037
Mailing address
3695 MAIN ST, JASPER, TN 37347-0417
(423) 815-9180
(423) 815-1662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20640
TN
363LF0000X
Family Nurse Practitioner
Primary
20640
TN
Other
Enumeration date
11/23/2015
Last updated
02/01/2023
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