Provider Demographics
NPI:1497107874
Name:GREER, AMY E (FNP-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:GREER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 GOODEN CV
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-9487
Mailing Address - Country:US
Mailing Address - Phone:173-166-4003
Mailing Address - Fax:
Practice Address - Street 1:2054 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-7741
Practice Address - Country:US
Practice Address - Phone:731-499-8708
Practice Address - Fax:731-499-8709
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000021276364SP0808X
TN21276363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3284142OtherTENNCARE/MEDICAID