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

Mrs. Amanda Michele Mullins, NP-C

Individual provider Nurse Practitioner · NPI 1063769719

Mrs. Amanda Michele Mullins, NP-C is a Nurse Practitioner in Greeneville, Tennessee. Graduated from University of Virginia School of Medicine in 2012, 14 years ago. Practices with Revida Recovery Centers PC, a 29-clinician group. Licensed in Tennessee and Virginia.

Years since qualifying
14
Trained at
University of Virginia School of Medicine
Licensed in
TN, VA
In the registry since
2012
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

712 Professional Plaza Dr
Greeneville, TN 37745-5138
Phone: (423) 820-0432
Fax: (423) 525-8795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 32642 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024170245 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 32642 (TN)

Record details

NPI number1063769719
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 13, 2012
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Revida Recovery Centers Pc — 29 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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