Individual
AMANDA LYNN DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
961 SPRING CREEK RD, CHATTANOOGA, TN 37412-3959
(423) 892-2221
Mailing address
9223 LAKEWOOD CIR, SODDY DAISY, TN 37379-3248
(423) 994-7730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
34264
TN
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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