IndividualActive
Amanda Derise-Jewell, NP
NPI 1417486093 · Nurse Practitioner · Crossville, TN
Provider details
- NPI number
- 1417486093
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 27432 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4325 Highway 127 N
Crossville, TN 38571-0587
Phone: (931) 484-8020
Approximate (ZIP-level) locationGet directions
Mailing address
4325 Highway 127 N
Crossville, TN 38571-0501
Additional practice locations (1)
- 63 Taylor AveCrossville, TN 38555-4567Phone: (931) 250-5488Fax: (931) 250-5667
Registry dates
- Enumerated
- 2017-06-07
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.