Individual provider · Type 1 NPI

Amy Nicole Shortt, ACNP-AG

Gerontology Nurse Practitioner · Bristol, TN

NPI number 1891451936 Active

Practice location

271 Medical Park Blvd
Bristol, TN 37620-7455

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 5705 Redbud Hwy, Honaker, VA 24260-7436 · (276) 873-6300
  • 245 Medical Park Dr Ste A, Marion, VA 24354-1100 · (276) 378-1000
  • 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 · (276) 258-1000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X2021040583 (MO)
Community Health Nurse Practitioner 363LC1500X0024190101 (VA)
Gerontology Nurse Practitioner 363LG0600X36565 (TN)
Gerontology Nurse Practitioner Primary 363LG0600X0024190101 (VA)

Gerontology Nurse Practitioner: Definition to come...

28 other providers at this address

About NPI 1891451936

Amy Nicole Shortt, ACNP-AG's National Provider Identifier is 1891451936, issued on Nov 12, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bristol, TN. The record was last updated on Aug 5, 2025.