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

Amanda Stovall

Individual provider Family Nurse Practitioner · NPI 1457006249

Amanda Stovall is a Nurse Practitioner in Tullahoma, Tennessee. Qualified in 2021, 5 years ago. Practices with Vanderbilt Integrated Providers LLC, a 78-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
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Practice location Address checks out

1805 N Jackson St
Tullahoma, TN 37388-2290
Phone: (615) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 491 Majors Blvd, Lynchburg, TN 37352-8344 — (931) 759-4727
  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-8344 — (615) 322-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 31154 (TN)

Record details

NPI number1457006249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2022
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vanderbilt Integrated Providers Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tullahoma