MEDICARE: AMANDA STONEBURNER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	270168	TN

General Provider Information

NPI Number	:	1003732736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA STONEBURNER RN

Provider Business Mailing Address
First Line	:	3508 BLOW DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-2802
Country	:	US
Telephone Number	:	941-724-3573
Fax Number	:

Provider Business Practice Location Address
First Line	:	5005 ASHEVILLE HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37914-4232
Country	:	US
Telephone Number	:	865-594-1285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

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