Doctor Name: | MRS. AMY ELIZABETH BURKS |
NPI Number: | 1366819641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | APN0000020200 |
Business Practice Address: | 120 Kittrell St Hohenwald, TN - 384621363 |
Business Phone Number: | 9317961818 |
Business Fax Number: | |
Mailing Address: | 120 Kittrell St, HOHENWALD |
State: | TN |
Postal Code: | 384621363 |
Phone Number: | 9317961818 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2015 |
NPI Last Update Date: | 08/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000020200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |