MEDICARE: MRS. AMY RENEE GREENE 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	163W00000X	Registered Nurse	RN124014	TN
2	363LF0000X	Family Nurse Practitioner	APN17529	TN

General Provider Information

NPI Number	:	1659613156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY RENEE GREENE FNP

Provider Business Mailing Address
First Line	:	6350 W ANDREW JOHNSON HWY
Second Line	:	DEPARTMENT 100
City	:	TALBOTT
State	:	TN
Zip	:	37877-8605
Country	:	US
Telephone Number	:	800-355-3565
Fax Number	:	423-714-2355

Provider Business Practice Location Address
First Line	:	2727 ASBURY RD STE 101102
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37914-6446
Country	:	US
Telephone Number	:	865-444-6161
Fax Number	:

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

Provider Enumeration Date	:	03/22/2013
Last Update Date	:	06/25/2026

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