MEDICARE: MRS. AMY SEXTON HARRELL MSN, FNP-BC

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	363LF0000X	Family Nurse Practitioner	18444	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962827428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY SEXTON HARRELL MSN, FNP-BC

Provider Business Mailing Address
First Line	:	7331 TAZEWELL PIKE
Second Line	:
City	:	CORRYTON
State	:	TN
Zip	:	37721-3516
Country	:	US
Telephone Number	:	865-249-8044
Fax Number	:	865-985-0756

Provider Business Practice Location Address
First Line	:	7331 TAZEWELL PIKE
Second Line	:
City	:	CORRYTON
State	:	TN
Zip	:	37721-3516
Country	:	US
Telephone Number	:	865-249-8044
Fax Number	:	865-985-0756

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

Provider Enumeration Date	:	02/20/2014
Last Update Date	:	05/22/2023

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