Individual
MRS. AMANDA ELLEN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
10805 HARDING DR, KNOXVILLE, TN 37932-3240
(865) 675-6444
Mailing address
3912 LAKE VALLEY CT, KINGSPORT, TN 37664-5197
(423) 956-4419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000030769
TN
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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