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Individual

MRS. ASHLEY RENEE BONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FN-P

Contact information

Practice address
2060 LAKESIDE CENTRE WAY, KNOXVILLE, TN 37922-6591
(865) 218-6222
(833) 671-1059
Mailing address
2060 LAKESIDE CENTRE WAY, KNOXVILLE, TN 37922-6591
(865) 218-6222
(865) 218-6220

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28227
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
777937A
TN
Enumeration date
09/03/2020
Last updated
09/29/2022
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