Individual
AMANDA D UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 373-7100
(865) 373-7101
Mailing address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 373-7100
(865) 373-7101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22750
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q031416
—
TN
Enumeration date
07/27/2017
Last updated
06/23/2020
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