Individual
AMY KRISTIN SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(865) 293-5549
Mailing address
13160 REEDY CREEK RD, BRISTOL, VA 24202-3404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175158
VA
Other
Enumeration date
06/10/2020
Last updated
12/03/2024
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