Individual
AMANDA COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
270 POTLEG TRL, HENDERSON, TN 38340-7471
(731) 608-6347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
165822
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
34662
TN
Other
Enumeration date
07/19/2023
Last updated
09/25/2023
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