IndividualActive
Amanda Coulter, AGPCNP
NPI 1629673173 · Adult Health Nurse Practitioner · Maryville, TN
Provider details
- NPI number
- 1629673173
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 28503 (TN)
Mailing address
3128 Fairoaks Dr
Maryville, TN 37803-7308
Registry dates
- Enumerated
- 2020-12-02
- Last updated
- 2020-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.