Individual
AMANDA DANIELLE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
114 DEERBERRY LN, OAK RIDGE, TN 37830-1741
(865) 466-6241
Mailing address
4262 DECATUR HWY, KINGSTON, TN 37763-6733
(865) 466-6241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
73073
TN
Other
Enumeration date
11/21/2023
Last updated
03/26/2026
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