Provider Demographics
NPI:1730552555
Name:LLOYD, AMANDA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 CLAYTON DR
Mailing Address - Street 2:
Mailing Address - City:HELENWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37755-5431
Mailing Address - Country:US
Mailing Address - Phone:423-223-6888
Mailing Address - Fax:606-451-1460
Practice Address - Street 1:300 MEDPARK DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2816
Practice Address - Country:US
Practice Address - Phone:606-676-0786
Practice Address - Fax:606-451-1460
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20684363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily