Individual
MRS. AMANDA ELAINE WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7645 WOLF RIVER CIR, GERMANTOWN, TN 38138-1751
(901) 665-3123
Mailing address
291 DOGWOOD DR, HERNANDO, MS 38632-1218
(901) 603-6214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906217
MS
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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