Individual
MRS. AMANDA JILL TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 KIRBY PKWY, SUITE 100, GERMANTOWN, TN 38138-3696
(901) 751-0050
Mailing address
2646 FALL SPRING DR, OLIVE BRANCH, MS 38654-9476
(901) 359-5409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16198
TN
363LP0200X
Pediatric Nurse Practitioner
16198
TN
Other
Enumeration date
11/09/2011
Last updated
11/20/2025
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