Individual
AMANDA ASHLEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2500 JACKSBORO PIKE STE 6, JACKSBORO, TN 37757-2818
(423) 352-6500
Mailing address
1402 DORCHESTER AVE, MIDDLESBORO, KY 40965-2227
(606) 670-4474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1158104
KY
363LF0000X
Family Nurse Practitioner
Primary
27163
TN
Other
Enumeration date
02/15/2020
Last updated
02/27/2020
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