Provider Demographics
NPI:1497033153
Name:FERN, AMBER D (PA-C)
Entity Type:Individual
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First Name:AMBER
Middle Name:D
Last Name:FERN
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Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:65 GERMANTOWN CT STE 300
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4258
Mailing Address - Country:US
Mailing Address - Phone:901-737-4665
Mailing Address - Fax:901-328-1355
Practice Address - Street 1:27A MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3949
Practice Address - Country:US
Practice Address - Phone:731-424-1001
Practice Address - Fax:731-424-2249
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2023-11-09
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Provider Licenses
StateLicense IDTaxonomies
TN1984363AM0700X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical