Individual
AMANDA FAYE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8050
(423) 209-8051
Mailing address
1300 SIDE CREEK WAY, #207, CHATTANOOGA, TN 37421-7911
(270) 282-3013
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000177425
TN
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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