Organization
AMANDA S. FERGUSON FNP INC
Active
Other names
Amanda S. Raymond FNP Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA SMITH FERGUSON FNP (OWNER)
(865) 882-2002
Entity
Organization
Contact information
Practice address
2415 N GATEWAY AVE, HARRIMAN, TN 37748-8609
(865) 882-2002
Mailing address
2415 N GATEWAY AVE, HARRIMAN, TN 37748-8609
(865) 882-2002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14952
TN
Other
Enumeration date
05/06/2010
Last updated
02/22/2013
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