Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda L Hannah, NURSEPRACTITIONER

Individual provider Pediatric Nurse Practitioner · NPI 1649890088

Amanda L Hannah, NURSEPRACTITIONER is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2022, 4 years ago. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2020

Practice location Address checks out

6063 Mount Moriah Road Ext Ste 4
Memphis, TN 38115-2665
Phone: (901) 683-0024
Fax: (901) 683-0086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 33968 (TN)

Record details

NPI number1649890088
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 24, 2020
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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