Provider Demographics
NPI:1316224256
Name:JEAN, AMY K (ATC, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:K
Last Name:JEAN
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Gender:F
Credentials:ATC, PA-C
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Mailing Address - Street 1:2400 PATTERSON ST
Mailing Address - Street 2:SUITE100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1562
Mailing Address - Country:US
Mailing Address - Phone:615-342-0038
Mailing Address - Fax:615-341-0881
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-342-0038
Practice Address - Fax:615-341-0881
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2014-11-12
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Provider Licenses
StateLicense IDTaxonomies
TN2003363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant