Provider Demographics
NPI:1649800871
Name:GOKE, AMANDA LIN (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LIN
Last Name:GOKE
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:LIN
Other - Last Name:WAKEFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:
Practice Address - Street 1:927 NORTH JAMES CAMPBELL BLVD., SUITE 105
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401
Practice Address - Country:US
Practice Address - Phone:931-388-5114
Practice Address - Fax:931-388-5631
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN253928163W00000X
KS14-126931-092163W00000X
MO2011006432163W00000X
MO2020032305363LF0000X
TNAPN0000028584363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse