Individual
AMANDA L NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 MED TECH PKWY STE 120, JOHNSON CITY, TN 37604-2631
(423) 794-5590
(423) 794-5877
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-5890
(423) 794-1834
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
30220
TN
363LF0000X
Family Nurse Practitioner
Primary
30220
TN
Other
Enumeration date
09/15/2021
Last updated
02/19/2025
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