IndividualActive
Amanda Clark, CSFA
NPI 1730073404 · Surgical Assistant · Hermitage, TN
Provider details
- NPI number
- 1730073404
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSFA
- Sex
- Female
- Sole proprietor
- No
- License
- 214724 (MS)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5655 Frist Blvd
Hermitage, TN 37076-2053
Phone: (615) 316-3000
Approximate (ZIP-level) locationGet directions
Mailing address
7520 Oak Cove Dr
Biloxi, MS 39532-5054
Registry dates
- Enumerated
- 2025-06-05
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.