Individual
AMY W HARKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6401 POPLAR AVE STE 220, MEMPHIS, TN 38119-4884
(901) 603-3310
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(901) 603-3310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3202
TN
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00486542
—
MS
05
—
Q02914
—
TN
Enumeration date
02/15/2017
Last updated
06/25/2025
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