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Individual

MRS. AMANDA GAIL HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4220 HARDING PIKE, NASHVILLE, TN 37205-2005
(615) 222-4923
(615) 222-4919
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-4088
(615) 284-7501

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19121
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10350I8643
TN MEDICARE
TN
05
7100128020
KY
05
Q010418
TN
Enumeration date
04/12/2010
Last updated
08/15/2019
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