Individual
MRS. KELLY JO AMONETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5880 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2236
(931) 823-6260
Mailing address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 528-7531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13373
TN
363LF0000X
Family Nurse Practitioner
13373
TN
Other
Enumeration date
07/14/2008
Last updated
03/09/2018
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