Individual
AMANDA LEIGH EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
364 S FRONT ST STE 201, MEMPHIS, TN 38103
(901) 296-3000
(949) 543-2924
Mailing address
364 S FRONT ST STE 201, MEMPHIS, TN 38103-4114
(901) 296-3000
(949) 543-2924
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21357
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
901587
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08759340
—
MS
05
—
Q023617
—
TN
Enumeration date
06/22/2016
Last updated
02/15/2019
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