Provider Demographics
NPI:1528254562
Name:COLE, AMY T (CNM, FNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:T
Last Name:COLE
Suffix:
Gender:F
Credentials:CNM, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 JACKSON MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1425
Mailing Address - Country:US
Mailing Address - Phone:615-874-3422
Mailing Address - Fax:615-874-3465
Practice Address - Street 1:226 JACKSON MEADOWS DR
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-1425
Practice Address - Country:US
Practice Address - Phone:615-874-3422
Practice Address - Fax:615-874-3465
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14101363LF0000X
GARN193329367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA12369OtherAMERICAN MIDWIFERY CERTIF
TN2007009318OtherFNP CERTIFICATE
TN14101OtherAPN
GARN193329OtherLICENSE
TN147084OtherRN