Individual
AMANDA D LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
303 MED TECH PKWY STE 200, JOHNSON CITY, TN 37604-2392
(423) 794-3040
(423) 794-3041
Mailing address
PO BOX 3889, JOHNSON CITY, TN 37602-3889
(423) 794-2457
(423) 283-9480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27960
TN
Other
Enumeration date
08/09/2020
Last updated
06/20/2023
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