Provider Demographics
NPI:1841738135
Name:YARNELL, AMANDA (BC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:YARNELL
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10745 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-3002
Mailing Address - Country:US
Mailing Address - Phone:865-218-7721
Mailing Address - Fax:865-218-7722
Practice Address - Street 1:10745 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-3002
Practice Address - Country:US
Practice Address - Phone:865-218-7721
Practice Address - Fax:865-218-7722
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN825237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
8131OtherNATIONAL BOARD FOR CERTIFICATION IN HEARING INSTRUMENT SCIENCES