Individual
LAURA ASHLEY ERMENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
616 W FOREST AVE, JACKSON, TN 38301-3902
(731) 541-7070
(731) 541-7075
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
46400
TN
207L00000X
Anesthesiology Physician
4834-320
WI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
101169
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520424
—
TN
Enumeration date
02/05/2008
Last updated
09/25/2025
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