Individual
MRS. AMANDA ELAINE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5220 PARK AVE, 210, MEMPHIS, TN 38119-3540
(901) 767-6765
(901) 761-4312
Mailing address
5220 PARK AVE, 210, MEMPHIS, TN 38119-3540
(901) 767-6765
(901) 761-4312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12034
TN
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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