# VITAL CARE CLINIC OF ESTILL SPRINGS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vital Care Clinic of Estill Springs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427829696
- **Authorized official:** MRS. AMBER NICOLE WOOTEN FNP-BC (OWNER/PROVIDER)
- **Authorized official phone:** (615) 612-9397

## Contact information

- **Practice address:** 300 S MAIN ST \# A, ESTILL SPRINGS, TN 37330-4042
- **Practice address phone:** (615) 612-9397
- **Mailing address:** 300 S MAIN ST, ESTILL SPRINGS, TN 37330-4042
- **Mailing address phone:** (615) 612-9397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2024
- **Last updated:** 09/30/2026