Individual
AMANDA MICHELLE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 MANOR DR APT F, KINGSPORT, TN 37660-3471
(423) 914-3963
Mailing address
404 MANOR DR APT F, KINGSPORT, TN 37660-3471
(423) 914-3963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25408
TN
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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