Healthcare Provider Details

I. General information

NPI: 1609703180
Provider Name (Legal Business Name): AMBER PAGE HAMLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER PAGE GLASS FNP-C

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 2ND AVE S
LORETTO TN
38469-2125
US

IV. Provider business mailing address

411 2ND AVE S
LORETTO TN
38469-2125
US

V. Phone/Fax

Practice location:
  • Phone: 931-629-3885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number242329
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: