Wyatt, Amber Nicole

Wyatt, Amber Nicole is an individual health care provider with primary practice located at 644 Highway 114 S , Scotts Hill TN 38374-5023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Wyatt, Amber Nicole can be contacted via phone (731) 968-3646.

Contact Information

Primary practice address
644 Highway 114 S Scotts Hill TN 38374-5023
Phone: (731) 968-3646
Fax: (731) 968-1870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN0000008360 Tennessee

Profile Details

NPI number 1871577684
LBN Legal business name Wyatt, Amber Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Aug 11th, 2022 - about 2 years ago

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 1871577684 NPPES
Tennessee Other 4069459 BLUE CROSS PROVIDER NUMBE
Tennessee MEDICAID 3349547 BLUE CROSS PROVIDER NUMBE
Tennessee Other 4138067 BLUE CROSS PROVIDER NUMBE

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