Provider Demographics
NPI:1467935817
Name:MORGAN, AMANDA ANN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ANN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2102
Mailing Address - Country:US
Mailing Address - Phone:423-209-8000
Mailing Address - Fax:
Practice Address - Street 1:5625 HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:BIRCHWOOD
Practice Address - State:TN
Practice Address - Zip Code:37308-5155
Practice Address - Country:US
Practice Address - Phone:423-209-5540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24746363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily