Amanda G Jack
NPI #1982432316 in Mt Juliet, Tennessee
Provider Information
- NPI Number
- 1982432316
- Entity Type
- Individual
- Name
- Amanda G Jack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 25, 2024
- Last Updated
- Apr 30, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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