Individual
AMANDA MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1846 S MAIN ST, CROSSVILLE, TN 38555-6188
(931) 787-0155
Mailing address
677 SHADBERRY DR, CROSSVILLE, TN 38572-1725
(931) 787-0155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000028491
TN
Other
Enumeration date
01/22/2021
Last updated
09/25/2024
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