Shaw, Amy Leigh

Shaw, Amy Leigh is an individual health care provider with primary practice located at 325 N. State Of Franklin Road Ground Fl, Johnson City TN 37604. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shaw, Amy Leigh can be contacted via phone (423) 439-7320.

Contact Information

Primary practice address
325 N. State Of Franklin Road Ground Fl Johnson City TN 37604
Phone: (423) 439-7320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 23350 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23350 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 23350 Tennessee

Profile Details

NPI number 1386155331
LBN Legal business name Shaw, Amy Leigh
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2017
Last updated Jan 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386155331 NPPES
Tennessee MEDICAID Q033758

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