IndividualActive
Amanda Kelly, FNP
NPI 1629668769 · Nurse Practitioner · Crossville, TN
Provider details
- NPI number
- 1629668769
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- APN0000028491 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1846 S Main St
Crossville, TN 38555-6188
Phone: (931) 787-0155
Approximate (ZIP-level) locationGet directions
Mailing address
677 Shadberry Dr
Crossville, TN 38572-1725
Registry dates
- Enumerated
- 2021-01-22
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.