Search › Tennessee › 207P00000X
Amanda Jackson, M.D
NPI 1770875841 · on the registry since 2011
Practice
- Address
- 400 N State Of Franklin Rd
Pediatric Emergency Department
Johnson City, TN 37604 - Phone
- (423) 431-5339
- Organisation at this address
- Johnson City Medical Center
Mountain States Health Alliance
Watauga Pathology Associates Pc
Mountain States Health Alliance
Mountain States Health AllianceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 174
Additional practice sites
- 5230 E Stop 11 Rd Ste 250, Indianapolis, IN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 208000000X
208000000X - Licence states on file
- TN, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee