Individual provider · Type 1 NPI

Amanda Derise-Jewell, NP

Nurse Practitioner · Crossville, TN

NPI number 1417486093 Active

Practice location

4325 Highway 127 N
Crossville, TN 38571-0587

Call (931) 484-8020 Map

Other practice locations

  • 63 Taylor Ave, Crossville, TN 38555-4567 · (931) 250-5488

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X27432 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417486093

Amanda Derise-Jewell, NP's National Provider Identifier is 1417486093, issued on Jun 7, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crossville, TN. The record was last updated on Nov 19, 2025.