Amanda G Jack
Physician Assistant in Mt Juliet, TN. Individual provider (NPI-1).
NPI number1982432316
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1982432316
- Entity type
- Individual (NPI-1)
- Name
- Amanda G Jack
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2024
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 6201 | TN | Yes |
Practice location
77 Belinda PkwyMt Juliet, TN 37122-4390
Phone 615-391-4394
Mailing address
77 Belinda PkwyMount Juliet, TN 37122-4390
Phone 615-573-7546
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Other Physician Assistant providers in Mt Juliet, TN
- Ashleigh AmesNPI 1922674456
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- Arielle M Campbell, PANPI 1043774789
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- Leslie Jane Daschner, PA-CNPI 1649787888
- Brayden Flanagan, MHS, PA-C, ATCNPI 1023828076
- Thomas HooperNPI 1730597592
- Joni Elaine Lee, PANPI 1083869630
- Sydney Brents Lewis, PA-CNPI 1447902523
- Jessica Meyers, MPAP, PA-CNPI 1780022731
All 13 Physician Assistant providers in Mt Juliet · All 688 providers in Mt Juliet
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