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Individual

AMANDA MCDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223
(270) 412-3112
Mailing address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FORT CAMPBELL, KY 42223

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139963
TX

Other

Enumeration date
01/17/2020
Last updated
05/12/2022
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