Provider Demographics
NPI:1114235231
Name:DILL, JAMMIE AMANDA (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:JAMMIE
Middle Name:AMANDA
Last Name:DILL
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 E 3RD ST # 247
Mailing Address - Street 2:TRAUMA SERVICES DEPARTMENT
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2147
Mailing Address - Country:US
Mailing Address - Phone:423-778-6742
Mailing Address - Fax:423-778-6313
Practice Address - Street 1:975 E 3RD ST # 247
Practice Address - Street 2:TRAUMA SERVICES DEPARTMENT
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2147
Practice Address - Country:US
Practice Address - Phone:423-778-6742
Practice Address - Fax:423-778-6313
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 15196363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care