Individual
MISS AMANDA MICHELLE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2021 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5409
(423) 587-1406
(423) 616-0955
Mailing address
PO BOX 3128, MORRISTOWN, TN 37815-3128
(423) 587-1406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22889
TN
Other
Enumeration date
08/22/2017
Last updated
01/28/2021
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