Provider Demographics
NPI:1285175760
Name:SUDDEATH, AMY L (NP)
Entity type:Individual
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First Name:AMY
Middle Name:L
Last Name:SUDDEATH
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Gender:F
Credentials:NP
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Mailing Address - Street 1:127 CRESTVIEW PARK DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2855
Mailing Address - Country:US
Mailing Address - Phone:615-446-5121
Mailing Address - Fax:615-446-1359
Practice Address - Street 1:114 HIGHWAY 70 E UNIT 5
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-7030
Practice Address - Country:US
Practice Address - Phone:615-441-1486
Practice Address - Fax:615-441-1493
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2022-04-28
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily