MEDICARE: MRS. AMY D DAVIS APN

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	APN0000006437	TN

General Provider Information

NPI Number	:	1841261393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY D DAVIS APN

Provider Business Mailing Address
First Line	:	817 E OLDHAM AVE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37917-5568
Country	:	US
Telephone Number	:	865-522-2229
Fax Number	:	865-546-8355

Provider Business Practice Location Address
First Line	:	501 19TH ST STE 304
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37916-1839
Country	:	US
Telephone Number	:	865-522-2229
Fax Number	:	865-546-8355

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	01/13/2021

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