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1417486093
AMANDA DERISE-JEWELL
CROSSVILLE, TN
NPI
1417486093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 27432)
Enumeration Date
2017-06-07
Last Update Date
2022-06-07
Business Address
AMANDA DERISE-JEWELL NP
4325 HIGHWAY 127 N
CROSSVILLE, TN 38571-0587
Phone number: 931-484-8020
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Mailing Address
AMANDA DERISE-JEWELL NP
4325 HIGHWAY 127 N
CROSSVILLE, TN 38571-0587
Phone number: 931-484-8020
Copy
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