Provider Demographics
NPI:1982013751
Name:WRIGHT-BROWN, AMANDA L (DNP,FNP-C)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:L
Last Name:WRIGHT-BROWN
Suffix:
Gender:
Credentials:DNP,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E RAVINE RD STE 900
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3800
Mailing Address - Country:US
Mailing Address - Phone:423-333-2729
Mailing Address - Fax:423-279-5453
Practice Address - Street 1:121 E RAVINE RD STE 900
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3800
Practice Address - Country:US
Practice Address - Phone:423-333-2729
Practice Address - Fax:423-419-8051
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18964363L00000X, 363LF0000X
VA0024189922363LF0000X
MI4704416945363LF0000X
OH0037468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ007554Medicaid
TNP01385093OtherMEDICARE RR
VA30017815140001Medicaid