Healthcare Provider Details

I. General information

NPI: 1962392332
Provider Name (Legal Business Name): AMBER KERR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 2ND AVE
DAYTON TN
37321-2208
US

IV. Provider business mailing address

1820 HIWASSEE HWY
DAYTON TN
37321-7732
US

V. Phone/Fax

Practice location:
  • Phone: 423-285-9928
  • Fax: 423-250-7000
Mailing address:
  • Phone: 423-463-1678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number39285
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: