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

Amanda R. Jackson, NP

Individual provider Registered Nurse · NPI 1447658919

Amanda R. Jackson, NP is a Registered Nurse in Kingsport, Tennessee. Works from 3 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone: (423) 224-3701
Fax: (423) 224-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 378 Marketplace Dr Ste 5, Johnson City, TN 37604-2361 — (423) 282-0751
  • 1101 E Stone Dr, Kingsport, TN 37660-3384 — (423) 224-1110

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19521 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 182185 (TN)

Record details

NPI number1447658919
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 15, 2014
Last updated in NPPESJune 6, 2018

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