Individual
AMANDA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2800 PEOPLES ST, JOHNSON CITY, TN 37604-4157
(423) 631-0101
(423) 328-9027
Mailing address
2800 PEOPLES ST, JOHNSON CITY, TN 37604-4157
(423) 631-0101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000030767
TN
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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