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Individual

AMANDA DANIELLE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
114 DEERBERRY LN, OAK RIDGE, TN 37830-1741
(865) 466-6241
Mailing address
114 DEERBERRY LN, OAK RIDGE, TN 37830-1741
(865) 466-6241

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
292176
TN
164W00000X
Licensed Practical Nurse
Primary
73073
TN

Other

Enumeration date
11/21/2023
Last updated
06/30/2026
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