Provider Demographics
NPI:1164711826
Name:FREW, AMY (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:FREW
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 BAKERS BRIDGE AVENUE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-417-6009
Mailing Address - Fax:
Practice Address - Street 1:570 BAKERS BRIDGE AVENUE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-436-0921
Practice Address - Fax:615-807-3985
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34797363LP0808X
TN817106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist