Provider Demographics
NPI:1336999028
Name:CHATMAN, AMANDA ROCHELL (PROVIDER)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:ROCHELL
Last Name:CHATMAN
Suffix:
Gender:F
Credentials:PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 ELM HILL PIKE STE 120
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-4500
Mailing Address - Country:US
Mailing Address - Phone:615-918-8335
Mailing Address - Fax:615-692-0378
Practice Address - Street 1:1451 ELM HILL PIKE STE 120
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-4500
Practice Address - Country:US
Practice Address - Phone:615-918-8335
Practice Address - Fax:615-692-0378
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000022976253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care