Individual
AMANDA BLAIR THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2504 REGENTS WALK, GERMANTOWN, TN 38138-5809
(901) 826-2888
Mailing address
2504 REGENTS WALK, GERMANTOWN, TN 38138-5809
(901) 826-2888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26519
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q055553
—
TN
Enumeration date
01/15/2020
Last updated
05/18/2026
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