Individual
ASHLEY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
319 OHIO AVE, ERWIN, TN 37650-1709
(423) 579-3870
Mailing address
319 OHIO AVE, ERWIN, TN 37650-1709
(423) 579-3870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212539
TN
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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