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Amanda Davis

NPI 1629406590ActiveIndividual· Licensed Practical Nurse· Johnson City, TN

Licensed Practical Nurse in Johnson City, Tennessee, licensed in TN, with an NPI issued in October 2013.

Overview

NPI1629406590
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 31, 2013
Last updated in NPPESOct 31, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary164W00000X83882TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Licensed Practical Nurse providers in Johnson City

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