Provider Demographics
NPI:1235484668
Name:PARKS, AMANDA BAILEY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:BAILEY
Last Name:PARKS
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:1225 E WEISGARBER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2604
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:10215 KINGSTON PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-4609
Practice Address - Country:US
Practice Address - Phone:865-691-0733
Practice Address - Fax:865-690-7530
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2012-09-14
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Provider Licenses
StateLicense IDTaxonomies
TNAPN00000014925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily