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

Individual provider Pediatrics Physician · NPI 1770875841

Dr. Amanda Kay Jackson, MD is a Pediatrics Physician in Johnson City, Tennessee. Works from 2 locations. Licensed in Indiana and Tennessee.

Licensed in
IN, TN
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 N State Of Franklin Rd Pediatric Emergency Dept
Johnson City, TN 37604-6035
Phone: (423) 431-5339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 — (317) 528-8921

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 51518 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence MD0000051518 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence 01075191 (IN)

Record details

NPI number1770875841
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2011
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

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