MS. AMANDA JO COULTER AGPCNP
NPI 1629673173
Nurse Practitioner - Adult Health in Maryville, TN

Active since December 02, 2020
3128 FAIROAKS DR, MARYVILLE, TN 37803(865) 386-4595 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Amanda Jo Coulter Agpcnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMANDA JO COULTER AGPCNP (NPI 1629673173) is an individual adult health provider in Maryville, Tennessee, licensed in Tennessee (28503) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1629673173
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. AMANDA JO COULTERCredential: AGPCNP
Location Address3128 FAIROAKS DRMaryville, TN 37803-7308
Mailing Address3128 Fairoaks DrMaryville, TN 37803-7308 · (865) 386-4595
Sole ProprietorYes
Enumeration DateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
NPI 1629673173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in TN · 28503
3128 FAIROAKS DR, Maryville, TN 37803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Coulter's NPI number?

The NPI number for Amanda Coulter is 1629673173. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Amanda Coulter located?

Amanda Coulter practices at 3128 Fairoaks Dr, Maryville, TN 37803. The listed phone number is (865) 386-4595.

What is Amanda Coulter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Amanda Coulter was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.