| NPI | 1649598343 |
|---|---|
| Former Legal Business Name | AMANDA S. RAYMOND FNP INC |
| Entity Type | Organization |
| Authorized Contact | AMANDA SMITH FERGUSON Owner 865-882-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14952) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2013-02-22 |