Healthcare Provider Details

I. General information

NPI: 1568407765
Provider Name (Legal Business Name): AMY E ENGLISH-BURT CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY E ENGLISH WHNP-BC

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 12/08/2022
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7557B DANNAHER DR
POWELL TN
37849-3568
US

IV. Provider business mailing address

10308 WASHINGTON PIKE
CORRYTON TN
37721-3011
US

V. Phone/Fax

Practice location:
  • Phone: 865-647-3450
  • Fax:
Mailing address:
  • Phone: 208-861-5966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP-563A
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP-563A
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM-71A
License Number StateID
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number29826
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: