Individual
AMY BECTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 22ND AVE N, NASHVILLE, TN 37203-1844
(615) 320-0007
(615) 320-0009
Mailing address
PO BOX 210127, NASHVILLE, TN 37221-0127
(615) 986-1256
(615) 383-0853
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2347
TN
363AS0400X
Surgical Physician Assistant
Primary
2347
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6001210
BCBS TN
TN
05
—
Q002001
—
TN
Enumeration date
06/17/2013
Last updated
07/21/2022
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