Amy Dawn Holmes, R.N.

Individual provider Active NPI Registered Nurse · Talbott, TN

NPI 1992207674 · NPPES record last updated Mar 8, 2018

Key facts

NPI
1992207674
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN110792 (TN)
Practice address
6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Phone
(423) 587-7337
Fax
(423) 586-0614
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN110792TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN110792 TN Yes

Addresses

Primary practice location

6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

Other names

  • Amy Dawn Creasey Former name

Other providers in Talbott, TN

All providers in Talbott, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.