Provider Demographics
NPI:1942507603
Name:CASE, AMELIA KEMPF (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:AMELIA
Middle Name:KEMPF
Last Name:CASE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MISS
Other - First Name:AMELIA
Other - Middle Name:MARIE
Other - Last Name:KEMPF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:1225 E WEISGARBER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2604
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:149 DURHAM DR
Practice Address - Street 2:
Practice Address - City:MAYNARDVILLE
Practice Address - State:TN
Practice Address - Zip Code:37807-2925
Practice Address - Country:US
Practice Address - Phone:865-992-2221
Practice Address - Fax:865-992-2251
Is Sole Proprietor?:No
Enumeration Date:2011-02-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN166379163WX0200X
TN15632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology