Braswell, Amanda K.

Braswell, Amanda K. is an individual health care provider with primary practice located at 264 Coatsland Dr. , Jackson TN 38301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Braswell, Amanda K. can be contacted via phone (731) 423-1500.

Contact Information

Primary practice address
264 Coatsland Dr. Jackson TN 38301
Phone: (731) 423-1500
Fax: (731) 423-0342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 13296 Tennessee

Profile Details

NPI number 1437314721
LBN Legal business name Braswell, Amanda K.
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2008
Last updated Oct 18th, 2018 - about 8 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 1437314721 NPPES
Tennessee MEDICAID 1515286

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