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Individual

AMANDA ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
10820 PARKSIDE DR, KNOXVILLE, TN 37934-1956
(865) 218-7011
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 312-8165
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN88608
NV
363AM0700X
Medical Physician Assistant
Primary
6356
TN
363AM0700X
Medical Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/06/2023
Last updated
08/04/2026
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