Amanda G. Jack

Physician Assistant · Mt Juliet, TN

Individual Active NPI

NPI number 1982432316

Practice location

77 Belinda Pkwy
Mt Juliet, TN 37122-4390
Phone
(615) 391-4394

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NPI record

NPI
1982432316
Entity type
Individual (Type 1)
Enumeration date
July 25, 2024
Last updated
April 30, 2025
Certified
April 30, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 6201 TN

Mailing address

77 Belinda Pkwy
Mount Juliet, TN 37122-4390
Phone
(615) 573-7546

About Amanda Jack

Amanda G. Jack is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 77 Belinda Pkwy, Mt Juliet, TN 37122-4390. The NPI number 1982432316 was assigned on July 25, 2024 and the record was last updated on April 30, 2025.

Amanda Jack lists a license in the registry: #6201 (TN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda G. Jack?

The NPI number is 1982432316.

What is the phone number of Amanda Jack?

The phone number listed for the practice location is (615) 391-4394.

Where is Amanda Jack located?

77 Belinda Pkwy, Mt Juliet, TN 37122-4390.

What is the taxonomy code for Amanda Jack?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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