Provider Demographics
NPI:1356374797
Name:DUDNEY, AMY MANNING (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MANNING
Last Name:DUDNEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 NEW MIDDLETON HWY
Mailing Address - Street 2:
Mailing Address - City:GORDONSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38563-6603
Mailing Address - Country:US
Mailing Address - Phone:615-683-4400
Mailing Address - Fax:615-683-4402
Practice Address - Street 1:8 NEW MIDDLETON HWY
Practice Address - Street 2:
Practice Address - City:GORDONSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38563-6603
Practice Address - Country:US
Practice Address - Phone:615-683-4400
Practice Address - Fax:615-683-4402
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21925183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist