AMBER D FERN


Address: 176c W University Pkwy # C, Jackson, TN 38305-1616
Phone: 7316606915

AMBER D FERN (NPI# 1497033153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497033153
Entity Type Individual
Full Name AMBER D FERN
Credential PA-C
Practice Address 176c W University Pkwy # C
Jackson
TN 38305-1616
Mailing Address 176 W University Pkwy Ste C
Jackson
TN 38305-1618
Practice Telephone 7316606915
Practice Fax Number 7316684557
Mailing Telephone 7316606915
Mailing Fax Number 2298887771
Enumeration Date 2011-07-29
Last Update Date 2019-11-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1984 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
400 Us Highway 45 W, Humboldt, TN 383438503 7317847773

Office Location

Street Address 176C W UNIVERSITY PKWY # C
City JACKSON
State TN
Zip Code 38305-1616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255382388 Johnna Lea Beuerlein Nurse Practitioner 176c W University Pkwy # C, Jackson, TN 38305-1616 2006-05-13
1659921948 Sequoyha Raechelle Outlaw Physical Medicine & Rehabilitation 176c W University Pkwy # C, Jackson, TN 38305-1616 2019-09-18
1124536255 Rebecca Morris Carrington Physical Therapist 176c W University Pkwy # C, Jackson, TN 38305-1616 2018-01-10
1548707409 Morgan Simpson Nurse Practitioner 176c W University Pkwy # C, Jackson, TN 38305-1616 2017-01-30
1952852980 Bambi Lafont Nurse Practitioner 176c W University Pkwy # C, Jackson, TN 38305-1616 2016-10-14
1912274614 Naomi D Watson Physician Assistant 176c W University Pkwy # C, Jackson, TN 38305-1616 2011-11-23
1538297460 Jayme Leke Walker Nurse Practitioner 176c W University Pkwy # C, Jackson, TN 38305-1616 2007-03-01
1659459022 Rhonda Singleton Gaston Speech-Language Pathologist 176c W University Pkwy # C, Jackson, TN 38305 2006-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
Find all providers in zip 38305

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629206784 Sarah Beth Poplawski Physician Assistant 205 N. East Avenue, Emergency Department, Jackson, MI 49201 2009-06-29
1225167356 Marianne Elizabeth Lapointe Physician Assistant 815 Court St Ste 7, Jackson, CA 95642-2154 2007-03-05
1386780237 Charles F Harris Physician Assistant 982 W. Broadway, Jackson, WY 83002 2007-01-29
1427109149 Coreen Dian Garcia-sweets Physician Assistant 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 2007-01-16
1861552556 Marc A Fierro Physician Assistant 11333 Prospect Dr Ste 401, Jackson, CA 95642-9311 2006-12-11
1427146539 James E Abernathy II Physician Assistant 294 Sumar Dr, Jackson, TN 38301 2006-10-11
1184633935 Kelly Elizabeth Graver Pate Physician Assistant 9279 Locust St., Jackson, CA 95669 2006-08-07
1548241359 Byron Michael Breeding Physician Assistant 144 Edenwood Dr, Jackson, TN 38301-3827 2005-11-09
1033735709 Anna Marie Plumley Physician Assistant 1325 N West Ave, Jackson, MI 49202-2050 2020-06-18
1093347072 Jessica Emil Ansara Physician Assistant 205 N East Ave, Jackson, MI 49201-1753 2020-02-07
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 38305

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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