MS. AMANDA JO COULTER AGPCNP NPI 1629673173

NPI Information

  • NPI: 1629673173
  • Provider Name: MS. AMANDA JO COULTER, AGPCNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 3128 FAIROAKS DR
    MARYVILLE, TN
    ZIP 37803
  • Phone: (865) 386-4595

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NPI Details

MS. Amanda Jo Coulter, AGPCNP is an adult health nurse practitioner in Maryville, TN. MS. Amanda Jo Coulter, AGPCNP NPI is 1629673173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3128 FAIROAKS DR
MARYVILLE, TN
ZIP 37803-308
Phone: (865) 386-4595

The enumeration date for this NPI number is 12/2/2020 and was last updated on 12/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health28503TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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