Individual
MS. AMANDA RAE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
320 W 18TH ST, HOPKINSVILLE, KY 42240-1965
(270) 887-0100
Mailing address
3827 MAN O WAR BLVD, CLARKSVILLE, TN 37042-7270
(270) 881-6288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000229755
TN
363LF0000X
Family Nurse Practitioner
Primary
3013886
KY
Other
Enumeration date
09/23/2019
Last updated
10/02/2019
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