Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vivid Path LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1356136501

Vivid Path LLC is a Psychiatric/Mental Health Nurse Practitioner in Knoxville, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9050 Executive Park Dr Ste 109A
Knoxville, TN 37923-4669
Phone: (865) 217-6080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1356136501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amber Jordan — Owner · (865) 217-6080
NPI enumeratedApril 10, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address9050 Executive Park Dr Ste 109a, Knoxville, TN 37923-4669

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