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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA LARSON

Active

AMANDA LARSON is a Nurse Practitioner healthcare provider located in MT JULIET, Tennessee. NPI 1053729327 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MT JULIET, TN

Registration Details

NPI Number
1053729327
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2014 (12.003116124041 yrs)
Last Updated
Nov 16, 2023
Licenses
160038 (TN)
18969 (TN)
18969 (TN)

Practice Information

Address
40 W CALDWELL ST STE 200
MT JULIET, TN, 371223179
Browse TN providers · Browse ZIP 37122
Phone
6159418501
Fax
6159418102
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in MT JULIET, TN

Name Credential NPI
LAUREN MCCARTNEY MANZO AGPCNP-BC 1881041846
LATISHA MILBERGER 1861938235
MRS. TIFFANY NICOLE GUERRIERI NP-C 1851919062
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.