Individual
MRS. AMY PROVINCE NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
7551 DANNAHER LANE, POWELL, TN 37849-4026
(865) 637-9330
(865) 512-6748
Mailing address
PO BOX 92, KNOXVILLE, TN 37901-0092
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
13492
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530023
—
TN
01
—
6051712
BCBS
TN
01
—
P01548991
MEDICARE RR
TN
Enumeration date
02/11/2008
Last updated
07/06/2016
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