Individual
AMANDA LAUREN STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18 W CAROLINA AVE APT 302, MEMPHIS, TN 38103-4844
(901) 831-5896
Mailing address
18 W CAROLINA AVE APT 302, MEMPHIS, TN 38103-4844
(901) 831-5896
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
221994
AR
363L00000X
Nurse Practitioner
32632
TN
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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