IndividualActive
Amy Henegar
NPI 1235896093 · Gerontology Registered Nurse · Elizabethton, TN
Provider details
- NPI number
- 1235896093
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 128169 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
220 Old Siam Rd
Elizabethton, TN 37643-4724
Phone: (423) 747-7859
Approximate (ZIP-level) locationGet directions
Mailing address
220 Old Siam Rd
Elizabethton, TN 37643-4724
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2021-11-29
- Certified
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.