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Individual

AMANDA L FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, FNP-BC

Contact information

Practice address
101 W 2ND ST, RUSSELLVILLE, KY 42276-1302
(270) 726-2602
Mailing address
101 W 2ND ST, RUSSELLVILLE, KY 42276-1302
(270) 726-2602

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN0000180682
TN
363LF0000X
Family Nurse Practitioner
29416
TN
363LF0000X
Family Nurse Practitioner
Primary
3016196
KY

Other

Enumeration date
08/02/2016
Last updated
06/19/2021
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