| Doctor Name: | AMANDA G BROWN |
| NPI Number: | 1104941053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 0380907 |
| Business Practice Address: | 6976 Cumberland Gap Pkwy Harrogate, TN - 377528230 |
| Business Phone Number: | 4238693332 |
| Business Fax Number: | 4238693332 |
| Mailing Address: | Po Box 667, LA FOLLETTE |
| State: | TN |
| Postal Code: | 377660601 |
| Phone Number: | 4238693332 |
| Fax Number: | 4238693332 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 10/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0380907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |