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Individual

AMANDA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-4300
Mailing address
334 CRESCENT AVE, JACKSON, TN 38301-4362
(731) 608-4225

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
17957
TN

Other

Enumeration date
02/13/2014
Last updated
02/13/2014
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