Most Relevant Information
Provider Data
| NPI Number: | 1003376609 |
| Provider Name: | AMANDA JANE REID NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3013222 |
Most Important Dates
| Enumeration Date: | 03/21/2019 |
| Last Updated: | 10/30/2023 |
Provider Practice Location
1606 US HIGHWAY 27 N
CYNTHIANA
KY
410313718
Practice Location Phone/Fax
| Phone: | 8592348852 |
| Fax: | 8592348859 |
Provider Mailing Location
DEPT. 453 PO BOX 1000
MEMPHIS
TN
381480001
Provider Mailing Phone/Fax
| Phone: | 8285752625 |
| Fax: | 8283502174 |