Individual
AMANDA SHANKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
809 LAMONT ST, JOHNSON CITY, TN 37604-5453
(423) 926-1171
Mailing address
553 DOGWOOD DR, KINGSPORT, TN 37663-2236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
194917
TN
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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