Amanda F Boone, LPN
Individual provider Active NPI Licensed Practical Nurse · Johnson City, TN
NPI 1487154019 · NPPES record last updated Feb 20, 2018
Key facts
- NPI
- 1487154019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 88888 (TN)
- Practice address
- 219 Princeton Rd
Johnson City, TN 37601-2052 - Phone
- (423) 975-2200
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88888 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 88888 | TN | Yes |
Addresses
Primary practice location
219 Princeton Rd
Johnson City, TN 37601-2052
Mailing address
15810 Kingsport Hwy
Chuckey, TN 37641-3651
Phone (423) 525-2917
Other providers in Johnson City, TN
- Nicole Raastad Bonham
- Bedford W. Bonta
- Bethany Nicole Booher
- Samantha Bookbinder
- Eric Bookout
- Boones Creek Dentistry
- Boones Creek Medical PLLC
- Boones Creek Pharmacy, Inc.
- Boones Creek Pharmacy, Inc.
- Sarah Elizabeth Boop
All providers in Johnson City, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.