Individual provider · Type 1 NPI
Amanda Jo Coulter, AGPCNP
Adult Health Nurse Practitioner · Maryville, TN
NPI number
1629673173
Active
Practice location
3128 Fairoaks Dr
Maryville, TN 37803-7308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 28503 (TN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1629673173
Amanda Jo Coulter, AGPCNP's National Provider Identifier is 1629673173, issued on Dec 2, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Maryville, TN. The record was last updated on Dec 2, 2020.