Provider Demographics
NPI:1669763900
Name:REED, AMY LYNN (APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LYNN
Last Name:REED
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:CUPP ZEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:179 HANCOCK ST STE E
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-6346
Mailing Address - Country:US
Mailing Address - Phone:615-452-5943
Mailing Address - Fax:
Practice Address - Street 1:179 HANCOCK ST STE E
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-6346
Practice Address - Country:US
Practice Address - Phone:615-452-5943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006911363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily