Individual provider · Type 1 NPI

Amanda R. Jackson, NP

Family Nurse Practitioner · Kingsport, TN

NPI number 1447658919 Active

Practice location

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027

Fax (423) 224-3709

Mailing address

1101 E Stone Dr, Suite 2
Kingsport, TN 37660-3384

Other practice locations

  • 378 Marketplace Dr Ste 5, Johnson City, TN 37604-2361 · (423) 282-0751
  • 1101 E Stone Dr, Suite 2, Kingsport, TN 37660-3384 · (423) 224-1110

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X182185 (TN)
Family Nurse Practitioner Primary 363LF0000X19521 (TN)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1447658919

Amanda R. Jackson, NP's National Provider Identifier is 1447658919, issued on Dec 15, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Jun 6, 2018.