Amanda Brooke Jenkins, FNP-C

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Practice address

104 Broadway St Ste B
Martin, TN 38237-2458

Phone

(205) 485-4229

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1457176117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BROADWAY ST STE B",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372458",
            "telephone_number": "205-485-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BROADWAY ST STE B",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372458",
            "telephone_number": "205-485-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna K Hopla, MD
• Sarah Elizabeth Huffstetler, APRN
• Amelia R Hughes, CRNA
• Kristi Renae Jarrett, OTR
• Cody James Jefferson, MBA, ATC, LAT
• Brenn Mitchell Johnson, CRNA
• Emily Belote Johnson, COTA
• Rebecca N Johnson, CNMW
• Robert Jones Mark Jones
• Tisha Julian, PTA

• Infusion Therapy Clinic/Center in Martin, TN
• Providers in Martin, TN by specialty
• Infusion Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.