IndividualActive
Amanda Smith, FNP
NPI 1487008835 · Nurse Practitioner · Johnson City, TN
Provider details
- NPI number
- 1487008835
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 20675 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615-4998
Phone: (423) 282-1480
Approximate (ZIP-level) locationGet directions
Mailing address
119 Boone Ridge Dr
Johnson City, TN 37615-4998
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2016-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.