AMANDA JO COULTER

MARYVILLE, TN
NPI1629673173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: TN  28503)
Enumeration Date2020-12-02
Last Update Date2020-12-02
Business Address
Ms. AMANDA JO COULTER AGPCNP
3128 FAIROAKS DR
MARYVILLE, TN 37803-7308
Phone number: 865-386-4595
Mailing Address
Ms. AMANDA JO COULTER AGPCNP
3128 FAIROAKS DR
MARYVILLE, TN 37803-7308
Phone number: 865-386-4595
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