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Individual

MRS. AMY B TALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
(731) 660-8739
Mailing address
327 SUMMAR DR, JACKSON, TN 38301-3930
(731) 265-6510

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN0000012334
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12334
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1517419
TN
Enumeration date
11/14/2006
Last updated
10/23/2025
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