Individual
AMANDA F BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-2200
Mailing address
15810 KINGSPORT HWY, CHUCKEY, TN 37641-3651
(423) 525-2917
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
88888
TN
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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