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

Amanda Leigh Clark, CSFA

Individual provider Surgical Assistant · NPI 1730073404

Amanda Leigh Clark, CSFA is a Surgical Assistant in Hermitage, Tennessee. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

5655 Frist Blvd
Hermitage, TN 37076-2053
Phone: (615) 316-3000
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 214724 (MS)

Record details

NPI number1730073404
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA
Sole proprietorNo
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address7520 Oak Cove Dr, Biloxi, MS 39532-5054