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Individual

MRS. AMANDI NICHOLE PROFFITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
417 E EMORY RD, POWELL, TN 37849-3518
(865) 938-5411
Mailing address
229 INTERSTATE DR, STE 103, CROSSVILLE, TN 38555-2704
(931) 210-5577
(931) 210-5575

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1932568797
TN
363LF0000X
Family Nurse Practitioner
Primary
APN0000020460
TN

Other

Enumeration date
02/22/2016
Last updated
12/26/2023
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