Derise-Jewell, Amanda

Derise-Jewell, Amanda is an individual health care provider with primary practice located at 4325 Highway 127 N , Crossville TN 38571-0587. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Derise-Jewell, Amanda can be contacted via phone (931) 484-8020.

Contact Information

Primary practice address
4325 Highway 127 N Crossville TN 38571-0587
Phone: (931) 484-8020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 27432 Tennessee

Profile Details

NPI number 1417486093
LBN Legal business name Derise-Jewell, Amanda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2017
Last updated Jun 7th, 2022 - about 3 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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