MEDICARE: MRS. AMY N LEMAY FNP

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	APN8234	TN

General Provider Information

NPI Number	:	1568489011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY N LEMAY FNP

Provider Business Mailing Address
First Line	:	9137 MIDDLEBROOK PIKE
Second Line	:	INSIDE CVS
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-1425
Country	:	US
Telephone Number	:	865-670-0825
Fax Number	:

Provider Business Practice Location Address
First Line	:	9137 MIDDLEBROOK PIKE
Second Line	:	INSIDE CVS
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-1425
Country	:	US
Telephone Number	:	865-670-0825
Fax Number	:

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/29/2009

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