Larson, Amanda

Larson, Amanda is an individual health care provider with primary practice located at 40 W Caldwell St Ste 200 , Mt Juliet TN 37122-3179. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Larson, Amanda can be contacted via phone (615) 941-8501.

Contact Information

Primary practice address
40 W Caldwell St Ste 200 Mt Juliet TN 37122-3179
Phone: (615) 941-8501
Fax: (615) 941-8102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 160038 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18969 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18969 Tennessee

Profile Details

NPI number 1053729327
LBN Legal business name Larson, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2014
Last updated Nov 16th, 2023 - 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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