Provider Demographics
NPI:1245851955
Name:DUNN, AMY RACHELLE (FNP,PMHNP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:RACHELLE
Last Name:DUNN
Suffix:
Gender:F
Credentials:FNP,PMHNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:RACHELLE
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP,PMHNP
Mailing Address - Street 1:1401 HATCHER LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3535
Mailing Address - Country:US
Mailing Address - Phone:480-410-5576
Mailing Address - Fax:
Practice Address - Street 1:1401 HATCHER LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3535
Practice Address - Country:US
Practice Address - Phone:480-410-5576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37794363L00000X, 363LP0808X
AZ240913363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ240913OtherAPRN