Individual
AMANDA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5381
Mailing address
12724 WATERGROVE DR, KNOXVILLE, TN 37922-5597
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000192179
TN
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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