IndividualActive
Amanda Jackson, NP
NPI 1447658919 · Family Nurse Practitioner · Kingsport, TN
Provider details
- NPI number
- 1447658919
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 182185 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone: (423) 224-3701
Fax: (423) 224-3709
Approximate (ZIP-level) locationGet directions
Mailing address
1101 E Stone Dr
Kingsport, TN 37660-3384
Additional practice locations (2)
- 378 Marketplace Dr Ste 5Johnson City, TN 37604-2361Phone: (423) 282-0751Fax: (423) 282-1577
- 1101 E Stone DrSuite 2Kingsport, TN 37660-3384Phone: (423) 224-1110Fax: (423) 224-1130
Registry dates
- Enumerated
- 2014-12-15
- Last updated
- 2018-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.