Porter, Amanda Kathleen

Porter, Amanda Kathleen is an sole proprietor health care provider with primary practice located at 975 E 3Rd St # 376 , Chattanooga TN 37403-2147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Porter, Amanda Kathleen can be contacted via phone (423) 778-7234.

Contact Information

Primary practice address
975 E 3Rd St # 376 Chattanooga TN 37403-2147
Phone: (423) 778-7234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 16873 Tennessee

Profile Details

NPI number 1710233838
LBN Legal business name Porter, Amanda Kathleen
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2012
Last updated Oct 4th, 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 1710233838 NPPES
Tennessee MEDICAID 1529239

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