| Doctor Name: | AMANDA YVETTE AUSTIN |
| NPI Number: | 1679667000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP, APRN-BC |
| License Number: | 11642 |
| Business Practice Address: | 669 S. Mt. Juliet Rd. Mt. Juliet, TN - 371226483 |
| Business Phone Number: | 6157582929 |
| Business Fax Number: | 6157582919 |
| Mailing Address: | 1425 W Baddour Pkwy, LEBANON |
| State: | TN |
| Postal Code: | 370872513 |
| Phone Number: | 6154441118 |
| Fax Number: | 6154430465 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 11642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |