Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA G JACK
Active Sole ProprietorAMANDA G JACK is a Physician Assistant healthcare provider located in MT JULIET, Tennessee. NPI 1982432316 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MT JULIET, TN
Registration Details
- NPI Number
- 1982432316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2024 (2.0515469908843 yrs)
- Last Updated
- Apr 30, 2025
- License
-
6201 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
77 BELINDA PKWYMT JULIET, TN, 371224390Browse TN providers · Browse ZIP 37122
- Phone
- 6153914394
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MT JULIET, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. JONI ELAINE LEE | PA | 1083869630 |
| ZACHARY D BENNER | — | 1811235419 |
| JESSICA MEYERS | MPAP, PA-C | 1780022731 |
| THOMAS HOOPER | — | 1730597592 |
| LESLIE JANE DASCHNER | PA-C | 1649787888 |
| ARIELLE M CAMPBELL | PA | 1043774789 |
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.