AMANDA G JACK

MT JULIET, TN
NPI1982432316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  6201)
Enumeration Date2024-07-25
Last Update Date2024-11-11
Business Address
AMANDA G JACK
77 BELINDA PKWY
MT JULIET, TN 37122-4390
Phone number: 615-391-4394
Mailing Address
AMANDA G JACK
77 BELINDA PKWY
MOUNT JULIET, TN 37122-4390
Phone number: 615-573-7546
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