Provider Demographics
NPI:1700200771
Name:TAYMAN, AMBER (FNP-BC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:TAYMAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:MARIE
Other - Last Name:MINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11424 HICKORY SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3139
Mailing Address - Country:US
Mailing Address - Phone:865-368-8887
Mailing Address - Fax:865-444-7672
Practice Address - Street 1:1400 DOWELL SPRINGS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2457
Practice Address - Country:US
Practice Address - Phone:865-888-9494
Practice Address - Fax:865-444-7672
Is Sole Proprietor?:No
Enumeration Date:2014-02-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN189477163W00000X
TNAPN18388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ003835Medicaid