Individual
MS. ASHLEA BROOKE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
110 HOSPITAL DR, JEFFERSON CITY, TN 37760-5281
(865) 471-2500
(865) 539-8008
Mailing address
PO BOX 634760, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN12833
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4160291
BLUE CROSS
TN
Enumeration date
07/30/2007
Last updated
11/06/2007
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