Individual
AMANDA BETH CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
105 W STONE DR STE 2B, KINGSPORT, TN 37660-3365
(423) 578-1595
(423) 578-1596
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18638
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q009661
—
TN
Enumeration date
06/15/2014
Last updated
05/18/2021
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