IndividualActive
Amanda Boudreaux, R.N.
NPI 1376949586 · Registered Nurse · Kingsport, TN
Provider details
- NPI number
- 1376949586
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- License
- 201347 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
320 Akers Ave
Kingsport, TN 37665-1934
Phone: (972) 890-7839
Approximate (ZIP-level) locationGet directions
Mailing address
320 Akers Ave
Kingsport, TN 37665-1934
Registry dates
- Enumerated
- 2014-11-16
- Last updated
- 2014-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.