Eaves, Amanda Leigh

Eaves, Amanda Leigh is an individual health care provider with primary practice located at 364 S Front St Ste 201 , Memphis TN 38103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Eaves, Amanda Leigh can be contacted via phone (901) 296-3000.

Contact Information

Primary practice address
364 S Front St Ste 201 Memphis TN 38103
Phone: (901) 296-3000
Fax: (949) 543-2924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 901587 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 21357 Tennessee

Profile Details

NPI number 1750732582
LBN Legal business name Eaves, Amanda Leigh
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2016
Last updated Feb 15th, 2019 - about 7 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 1750732582 NPPES
Mississippi MEDICAID 08759340
Mississippi MEDICAID Q023617

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