Allen, Amanda

Allen, Amanda is an individual health care provider with primary practice located at 6025 Walnut Grove Rd Suite 111, Memphis TN 38120-2131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Allen, Amanda can be contacted via phone (901) 226-2000.

Contact Information

Primary practice address
6025 Walnut Grove Rd Suite 111 Memphis TN 38120-2131
Phone: (901) 226-2000
Fax: (901) 271-4187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 19977 Tennessee

Profile Details

NPI number 1033596218
LBN Legal business name Allen, Amanda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2015
Last updated Nov 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033596218 NPPES
Tennessee MEDICAID Q024138

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