Individual
ASHLEY LAUREN HARDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(901) 651-6764
Mailing address
86 MEDON MALESUS RD, MEDON, TN 38356-9193
(901) 651-6764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22384
TN
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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