AMANDA DAVIS - NPI 1629406590 - Licensed Practical Nurse in Johnson City, TN

Q: What is Amanda Davis's NPI number?

The NPI number for Amanda Davis is 1629406590. It was assigned to this individual provider in the NPPES registry on October 31, 2013.

Q: What is Amanda Davis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Davis was last updated on October 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amanda Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA DAVIS (NPI 1629406590) is an individual licensed practical nurse in Johnson City, Tennessee, licensed in Tennessee (83882) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1629406590

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameAMANDA DAVIS

Location Address200 W FAIRVIEW AVEJohnson City, TN 37604-5611

Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644

Phone(877) 908-9062

Fax(423) 467-3644

Sole ProprietorNo

Enumeration DateOctober 31, 2013

✔ NPI 1629406590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in TN · 83882

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

200 W FAIRVIEW AVE, Johnson City, TN 37604

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