Provider Demographics
NPI:1760072441
Name:BRUMMETT, AMY L (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:BRUMMETT
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 UNION VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-8044
Mailing Address - Country:US
Mailing Address - Phone:865-228-1407
Mailing Address - Fax:
Practice Address - Street 1:100 UNION VALLEY RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-8044
Practice Address - Country:US
Practice Address - Phone:865-228-1407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37551363LX0106X
TN180037163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice