Provider Demographics
NPI:1790378859
Name:REAMS, AMBER MICHELLE (NP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MICHELLE
Last Name:REAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 WINDY RD
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3819
Mailing Address - Country:US
Mailing Address - Phone:615-934-2313
Mailing Address - Fax:
Practice Address - Street 1:5653 FRIST BLVD STE 239
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2063
Practice Address - Country:US
Practice Address - Phone:615-231-4288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29054363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology