Individual
AMANDA L HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6063 MOUNT MORIAH ROAD EXT STE 4, MEMPHIS, TN 38115-2665
(901) 683-0024
(901) 683-0086
Mailing address
6625 LENOX PARK DR STE 202, MEMPHIS, TN 38115-8200
(901) 683-0024
(901) 683-0086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185676
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
33968
TN
Other
Enumeration date
04/24/2020
Last updated
04/21/2026
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