Individual
AMANDA HAYES BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
(423) 390-6852
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
0024194871
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
37099
TN
Other
Enumeration date
10/17/2024
Last updated
02/04/2026
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