Individual
AMANDA NICOLE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
247 SILVER LAKE RD, CHURCH HILL, TN 37642-3516
(423) 357-5341
(423) 357-2231
Mailing address
229 DOTSON LN, CHURCH HILL, TN 37642-6011
(423) 292-4381
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000189348
TN
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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