Clement, Amanda G

Clement, Amanda G is an individual health care provider with primary practice located at 1427 William Blount Drive , Maryville TN 37801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clement, Amanda G can be contacted via phone (865) 358-0611.

Contact Information

Primary practice address
1427 William Blount Drive Maryville TN 37801
Phone: (865) 358-0611
Fax: (865) 380-2353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12716 Tennessee

Profile Details

NPI number 1447467493
LBN Legal business name Clement, Amanda G
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Dec 21st, 2015 - about 9 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 1447467493 NPPES
Tennessee MEDICAID Q009603

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