Healthcare Provider Details

I. General information

NPI: 1528729621
Provider Name (Legal Business Name): AMANDA ABRAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA ABRAMS FNP

II. Dates (important events)

Enumeration Date: 01/01/2022
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 MAIN ST
NASHVILLE TN
37206-3614
US

IV. Provider business mailing address

926 MAIN ST
NASHVILLE TN
37206-3614
US

V. Phone/Fax

Practice location:
  • Phone: 615-436-9060
  • Fax: 615-256-9836
Mailing address:
  • Phone: 615-436-9060
  • Fax: 615-256-9836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024181072
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024181072
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001263443
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: