Amy Elizabeth Burks, NP-C

Individual provider Active NPI Family Nurse Practitioner · Hohenwald, TN

NPI 1366819641 · NPPES record last updated Aug 21, 2015

Key facts

NPI
1366819641
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APN0000020200 (TN)
Practice address
120 Kittrell St
Hohenwald, TN 38462-1363
Phone
(931) 796-1818
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000020200TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joe I Hall MD PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000020200 TN Yes

Addresses

Primary practice location

120 Kittrell St
Hohenwald, TN 38462-1363

Mailing address

120 Kittrell St
Hohenwald, TN 38462-1363
Phone (931) 796-1818

Other providers in Hohenwald, TN

All providers in Hohenwald, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.